Cervical endometriosis: preventive and curative options

О. В. Качалина, A.A. Sergeeva
In: Russian Bulletin of Obstetrician-Gynecologist · 2023 · vol. 23(1) , pp. 86 · doi:10.17116/rosakush20232301186 · W4319992789
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Abstract

Objective. To assess the risk of cervical endometriosis after radiofrequency or electroradiofrequency conization followed by scraping cervical canal in patients with cervical intraepithelial neoplasia. To suggest the possibility of drug prophylaxis and treatment in this pathology. Material and methods. The study was conducted in Nizhny Novgorod on the basis of the B.I. Filonenko International Hospital «VISUS-1», Nizhny Novgorod. Ninety case histories of women aged 21 to 45 years old who underwent radiotherapy or electroradiofacial cervical conization followed by cervical canal scraping for cervical intraepithelial neoplasia (CIN) were analyzed. Results. Based on the analysis of the medical records, it was found that the development of cervical endometriosis after excision treatment in patients with cervical intraepithelial neoplasia has a clear dependence on the age of the patient and the presence of genital endometriosis of other localizations. The development of disease also contribute repeated physiosurgical interventions, chronic bacterial cervicitis. The study group included 15 (16.7%) patients with post-conization cervical endometriosis developed after conization, the control group was represented by 75 (83.3%) patients during a two year follow up. Conclusion. Factors contributing to the development of cervical endometriosis include cervix after radio-wave or electroradio-wave conization followed by cervical canal scraping, on the ground of an existing endometriosis, the presence of chronic bacterial cervical infections repeated therapeutic and diagnostic procedures, older age group. Given the variety of causes of the pathology, the search for possible ways to prevent and treat the disease is significant.

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endometriosis

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