Cervical cryosurgery is the use of extreme cold to freeze areas of the cervix. The cervix is the lower portion of the uterus (womb) that is located in the back of the vagina.
This procedure is done to kill and remove abnormal cells of the cervix, particularly precancerous cells.
Complications are rare, but no procedure is completely free of risk. If you are planning to have this procedure, your doctor will review a list of possible complications, which may include:
There are factors that may put you at risk for complications during this procedure:
You may want to plan for someone to drive you home.
Normally, no medicines are needed for this procedure. However, pain medicines such as ibuprofen (eg, Motrin, Advil), naproxen (eg, Aleve), or acetaminophen (eg, Tylenol) are usually recommended and should be taken about an hour before your appointment. Ask your doctor if this is recommended for you.
You will lie on an examination table with your feet in foot rests, as you would for a pelvic exam. A speculum is inserted into the vagina to hold it open. The cryosurgery probe is inserted into the vagina, and nitrous oxide makes the tip extremely cold. The tip is touched to abnormal areas on the cervix and held there for a few minutes. You may feel some cramping at this point. The tip is removed, allowing the tissue to return to its normal temperature over the course of 3-5 minutes. This freezing/thawing cycle may be repeated several times for each abnormal area on the cervix.
You will remain lying down for at least ten minutes after the procedure. Some women may feel dizzy and/or flushed after the procedure.
10-20 minutes
You will probably feel some cramping during the procedure. Some women also describe a burning sensation.
When you return home after the procedure, do the following to help ensure a smooth recovery:
The abnormal tissue of the cervix should shed and flow out of the body in a watery vaginal discharge over 4-6 weeks. In some cases, more than one cryosurgery session may be scheduled.
After arriving home, contact your doctor if any of the following occurs:
In case of an emergency, CALL 911 immediately.
RESOURCES:
The American Congress of Obstetricians and Gynecologists
http://www.acog.org/publications/patient_education/
National Cancer Institute, National Institutes of Health
http://nci.nih.gov/
The National Women's Health Information Center
http://www.4woman.gov/
CANADIAN RESOURCES:
The Society of Obstetricians and Gynaecologists of Canada (SOGC)
http://www.sogc.org/
Women's Health Matters
http://www.womenshealthmatters.ca/index.cfm
References:
American College of Obstetricians and Gynecologists website. Available at: http://www.acog.org/ .
Procedures for Primary Care Physicians . Mosby-Year Book, Inc.;1994.
Last reviewed November 2009 by Ganson Purcell Jr., MD, FACOG, FACPE
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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