General
Information
DEFINITION--Destruction of abnormal (infected or damaged) cells in the cervix,
the lower third of the uterus. An instrument called a cryosurgery probe is used to freeze
abnormal cells with liquid nitrogen.
BODY PARTS INVOLVED--Cervix; vagina (as route for surgery).
REASONS FOR SURGERY
- Abnormal cells in the cervix.
- Inflammation or infection of the cervix (chronic cervicitis).
SURGICAL RISK INCREASES WITH--None expected.
What To Expect
WHO OPERATES--Obstetrician-gynecologist, family doctor or general surgeon.
WHERE PERFORMED--Doctor's office or outpatient surgical facility.
DIAGNOSTIC TESTS
- Before surgery: Pap smear; vaginal exam.
- After surgery: Pap smear in 2 to 3 months.
ANESTHESIA--Usually none.
DESCRIPTION OF OPERATION
- A speculum is inserted into the vagina to hold it open and to bring the cervix into
view.
- The cryosurgery probe is held on the affected areas long enough to freeze and destroy
abnormal cells.
- The instruments are removed. The procedure should be painless. Discomfort after surgery
may vary from one person to the next but should not cause much distress.
POSSIBLE COMPLICATIONS--Occasional spotting of blood through the vagina.
AVERAGE HOSPITAL STAY--Usually none.
PROBABLE OUTCOME--Healing requires up to 2 months. During this time you should
expect a frequent, watery vaginal discharge. Allow about 6 weeks for recovery from
surgery.
Postoperative Care
> Wear cotton panties or pantyhose with a cotton crotch. Avoid panties made from
nylon, polyester, silk or other non--
ventilating materials.
- Use a sanitary pad to protect your clothing. Avoid tampons--they may lead to infection.
> Bathe and shower as usual. Use unscented soap. > Don't douche unless your doctor
recommends it.
MEDICATION--You may use non--prescription drugs, such as acetaminophen, to
relieve minor pain.
ACTIVITY---No restrictions. Resume sexual relations when your doctor determines
healing is complete.
DIET---No special diet.
Call Your Doctor If
> Vaginal discharge increases or develops an unpleasant odor.
- You experience pain that simple pain medication does not relieve quickly.
- You develop signs of infection: headache, muscle aches, dizziness or a general ill
feeling and fever.
- Unusual vaginal swelling or bleeding develops.
