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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
12 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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Scheduled for a leep conization tomrrow morning, what to expect?

Scheduled for a leep conization tomrrow morning, what to expect?

Not to worry: Crampy pain during procedure if you're not under anesthesia, some bleeding after, like a period. Your doctor should also provide instructions and information in the post procedure paperwork. ...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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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?

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: 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. ...Read more

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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, can I pass it?

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, can I pass it?

Depends on…: Whether conization eliminated all of virus. Was follow-up done to check for presence of more virus? If no virus present, u can't pass what doesn't exist. If any virus still present, then it can be passed. Virus can also exist in mouth, throat, anus—areas that also need to be checked. ...Read more

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Should I be worried about getting a leep (loop electrosurgical excision procedure)?

Should I be worried about getting a leep (loop electrosurgical excision procedure)?

Depends...: No with respect to the main side effect of LEEP or other cervical conization procedures, which is spontaneous miscarriage or preterm labor, assuming you are not looking to be pregnant in near future. Yes with respect to the fact that if you are having cervical dysplastic changes at age 50, the chances of it recurring in future may be higher than someone in their 30s ...Read more

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Should my girlfriend have a hysterectomy or leep loop electrosurgical excision procedure ?

Should my girlfriend have a hysterectomy or leep loop electrosurgical excision procedure ?

Depends: The answer to this question really depends on her diagnosis. I assume she has some sort of problem with her pap smear. Usually cervical issues, those conditions found in a pap test, dont require hysterectomy. The leep can be both diagnostic and treat most conditions involving her cervix, but she should consult her doctor as to why either procedure should be done. ...Read more

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Will cervix be shorter after conization?

Will cervix be shorter after conization?

Yes always: But may or may not be significant hopefully you are just getting a leep and not a cold knife cone which is worse. ...Read more

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I'm trying to have a baby. My Pap smear came back pap 4a conization. That's cervical cancer, can I still have a baby?

I'm trying to have a baby. My Pap smear came back pap 4a conization. That's cervical cancer, can I still have a baby?

Biopsy diagnosis?: Until the cervix is biopsied via Colposcopy or other means, the Pap smear diagnosis is irrelevant. We use the biopsied tissue to determine and document the diagnosis. Future pregnancy is possible if it is not invasive cervical cancer and even then eggs can be harvested from your ovaries prior to definitive surgery. ...Read more

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Good morning. I made a Conization in the cervix in 2008, because i had a carcinoma in situ. I wonder if it is safe to use tampons or menstrual cup?

Good morning. I made a Conization in the cervix in 2008, because i had a carcinoma in situ. I wonder if it is safe to use tampons or menstrual cup?

Safe, and get PAP: You should continue getting PAP smears, as recommended by your doctor. Tampons or cup is safe. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex. ...Read more

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