cervical conization procedure

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Dr. Miguel A. Cano answered:

Cervical conization- what can i expect to happen?

Easy procedure

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A cold cone biopsy of the cervix is a quick procedure & usually done in the OR in case heavy bleeding is encountered. Either a general anesthetic, IV sedation, or a local injection can be used. I prefer a combination of the later two and my patients do very well. They rarely feel any pain & appreciate the short nap.
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Dr. Miguel A. Cano answered:

What can I expect from cervical conization?

Easy procedure

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A cold cone biopsy of the cervix is a quick procedure & usually done in the OR in case heavy bleeding is encountered. Either a general anesthetic, IV sedation, or a local injection can be used. I prefer a combination of the later two and my patients do very well. They rarely feel any pain & appreciate the short nap.
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Dr. Brian Enggano answered:

Cervical conization- what can i expect? Will I be out?

Discuss with doctor

Spotting
Cold knife conization is a procedure in which a cone shaped biopsy of the cervix is removed to treat cervical dysplasia. No overnight stay is required unless complications arise. You will be put under general anesthesia and the surgery lasts approximately 30 minutes. Your total recovery time varies from 1-2 weeks. The cervix, however, usually takes 4-6 weeks to heal completely.
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Dr. Leto Quarles answered:

What is a cervical conization?

Remove precancerous

Cervical
Cervical conization is a surgery to remove a section of the cervix when there are pre-cancerous cells. This can usually be done in the office, and recovery is not too uncomfortable. Extra repeat Pap smears should still be done to make sure all pre-cancerous cells are gone and don't return. Can still have kids after, but cervix can be weak or scarred, so will need special attention when pregnant.
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Cervical conization risks while pregnant?

Pregnancy

Pregnancy
Miscarriage could occur if early in pregnancy. Preterm labor/delivery or cervical weakening could occur if later. Would advise discussing with a gyn oncologist and hi risk ob--if cancer risk is high that may outweigh pregnancy risks
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Anyone who has has cervical conization done have a fullterm baby?

Pregnancy

Cervical
Many women who have had cervical cones have had healthy term infants. You should have close evaluation of the length of the cervix early in 2nd trimester to determine if cervical insufficiency (weakening/shortening) has occurred. If so there are treatments available to extend your pregnancy if intervention is early
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Cervical conization while pregnant - do doctors do that, or is it dangerous?

Rarely

Cervical_cancer
One would need to have advanced cervical dysplasia with the worry of possible invasive cervical cancer to warrant a conization during pregnancy. Complications would include excessive bleeding, infection, and loss of enough cervical tissue to risk preterm labor. In 30 years I have done two of these and none in the past 15 years.
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Dr. Alan Patterson answered:

Will cervix be shorter after conization?

Yes always

Cervix
but may or may not be significant hopefully you are just getting a Leep and not a cold knife cone which is worse
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Dr. Miguel A. Cano answered:

What is a leep conization and who in NYC would be best to get a second opinion?

Cervix biopsy

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Loop Electrosurgical Excision Procedure (LEEP) is a low risk way of removing dysplastic (precancerous) cells/tissue from the cervix. It's an office procedure with local anesthesia to treat high grade (CIN II or III, CIS, or HGSIL) lesions seen on colposcopy. A second opinion from any Gyn or Gyn Onc would be appropriate if needed. Your Doc should be able to give you all the information you need.
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Dr. David Barrere answered:

I was diagnosed with HPV over twenty years ago & had a leep conization preformed do I still have the virus & can I give it to someone?

2 schools of thought

Bird_flu
There are two schools of thought in regards to HPV. One school believes that your immune system "contains" the virus and as such you may have no symptoms. But, if things change, the virus can "temporarily escape" and you become infectious. Another school of thought is the belief that the virus can be completely iradicated from the body. I believe the first school personally.
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