Cone Biopsy is done to remove a cone-shaped piece of tissue from the cervix (Neck of the Womb). The cervix is located at the upper end the vagina and is the entry point into the uterus (womb).
A cervical conization is used to diagnose and to treat cervical cancer or precancerous changes in the cervix. The procedure takes place after a woman has had abnormal results of the Pap smears. Pap smears are screening tests to detect abnormal, pre-cancerous, and cancerous cells in the cervix.
Complications are rare, but no procedure is completely free of risk. If the patient is planning to have a cervical conization, the doctor will review a list of possible complications, which may include:
- Scarring of the cervix leading to stenosis (tight closure) of the cervix
- Cervical incompetence which may lead to Premature delivery with future pregnancies
- The doctor will take your written consent for the surgery
- Inform Doctors about drug allergy or any current medication.
- Do not eat or drink anything for 8 hours prior to the procedure.
A speculum will be inserted into the vagina, similar to a Pap smear. It will hold your vagina open and allow instruments to pass easier. The doctor will use a knife, laser, or heated loop to remove a cone-shaped piece of tissue from the cervix.
If there are abnormal cells, they will also be removed or vaginal route may be kept to control bleeding from cut area, which will be removed postoperatively or may be burned. Self-absorbable sutures may be placed in the cervix to control bleeding. The tissue will be sent to a lab to test for cancer. The test results will be available within a week.
At the hospital
- The patient will rest in a recovery area until the anesthesia wears off. When the patient is awake and aware, she will be able to go home.
- Pass urine before discharge.
When the patient returns home, do the following to help ensure a smooth recovery:
- Drink plenty of water orally some painkiller would be given at the discharge.
- The patient may have some pain for which painkiller medicines would be prescribed at the time of discharge.
- The patient may have some bleeding or discharge from her vagina for several days post surgery.
A sanitary napkin or pad may be worn. Tampons should not be used for a month or more after the surgery.
- Sexual intercourse is discouraged for 4-6 weeks.
- Showers and baths are OK.
- Be sure to follow your doctor’s instructions.
A postoperative exam takes place at six weeks.