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Doctor insights on: Cervical Conization Using Loop Electrosurgical Excision Procedure

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Having my 3rd leep in 10 years for recurring hsil cervical polyps (1st leep was for mild). Should i be concerned? Should i look into a hysterectomy?

Having my 3rd leep in 10 years for recurring hsil cervical polyps (1st leep was for mild). Should i be concerned? Should i look into a hysterectomy?

Surgical Risk?: In general, hysterectomy is much more invasive and puts a patient at significantly greater risk than a leep. Further, hysterectomy should only be used when a leep is insufficient, i.e. Positive margins. I do understand the frustration/anxiety entailed by recurrent hsil though -- hysterectomy may be reasonable if your gyn can perform a lower risk procedure, like a laparoscopic or vaginal surgery. ...Read more

Dr. Paul Nowicki
11 doctors shared insights

Cone Biopsy Of Cervix (Definition)

While the patient is under anesthesia (asleep) the doctor cuts out a small (outside) cone shaped portion of the cervix that has abnormal/ pre cancerous or cancerous skin and deeper tissue . It can treat cervical dysplasia ( pre cancer of the cervix) or diagnose cervical cancer. It is rarely enough ...Read more


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Cervical conization risks while pregnant?

Cervical conization risks while pregnant?

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. ...Read more

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Anyone who has has cervical conization done have a fullterm baby?

Anyone who has has cervical conization done have a fullterm baby?

Pregnancy: 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. ...Read more

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

Discuss with doctor : 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. ...Read more

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Cervical conization while pregnant - do doctors do that, or is it dangerous?

Cervical conization while pregnant - do doctors do that, or is it dangerous?

Rarely: 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. ...Read more

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What is a cervical conization?

Remove precancerous: 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. ...Read more

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What can I expect from cervical conization?

What can I expect from cervical conization?

Easy procedure: 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. ...Read more

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Cervical conization- what can I expect to happen?

Cervical conization- what can I expect to happen?

Easy procedure: 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. ...Read more

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

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

Cervix biopsy: 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. ...Read more

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Cervical (Definition)

Cervical relates to the first seven vertebra of the spine. It is related it the neck. Also it refers to the muscular opening/exit of ...Read more