Complete cervical stenosis after conization: Timing for the minimally invasive reconstructive surgery

Shinsuke Koyama, Masaki Kobayashi, Yusuke Tanaka, Satoshi Kubota, Ryo Nakamura, Masanori Isobe, Yasuhiko Shiki
In: Gynecology and Minimally Invasive Therapy · 2014 · vol. 3(2) , pp. 57–60 · doi:10.1016/j.gmit.2014.05.001 · W2104623770
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This paper discusses a rare complication of cervical stenosis after conization, its association with estrogen deficiency, and the timing considerations for minimally invasive reconstructive surgery.

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Abstract

Among various long-term complications after conization, complete cervical stenosis is rare (<1%) but significant. This condition is typically associated with secondary amenorrhea, cyclical lower abdominal pain, and hematometra during menstrual periods. The risk of developing this condition is strongly associated with an estrogen-deficient state. Recently, we experienced a case of complete cervical stenosis after conization performed during lactation amenorrhea. Because our patient visited us during an intermenstrual asymptomatic period, we wondered when was the best time to perform minimally invasive reconstructive surgery. Until now, there has been no report concerning suitable timing for surgery for this condition. The clinical course of our case and clinical considerations associated with this rare complication are discussed.

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