A Hospital Based Comparative Assessment of Cryotherapy and Electrocautary in Treatment of Cervical Erosion

Aim: Comparative study of cryotherapy and electrocautery as therapeutic options for cervical erosion.Material and Methods: This was a prospective study carried out in 100 patients attending Department ofObstetrics & Gynaecology Jawaharlal Nehru medical college & Hospital, Bhagalpur, Bihar, India, for cervicalerosion. Patient were allocated in two groups. Group A patients underwent electrocautary and Group B underwentcryotherapy. 50 patients were randomly allocated in each group. Female of reproductive age group and onlyinflammatory changes in pap smear were included in this study.Results: Majority of the patients presented with vaginal discharge (group A 16 and group B 9). Pelvic pain wasa complaint in 5 patients in group A and 4 patients in group B. Menstural complaints included dysmenorrhoea,irregular menses, postcoital and intermenstural spotting and oligomenorrhoea. They were 4 in group A and 2 ingroup B. multiple complaints means patients presented with more than one from above complaints. Most commoncomplaint intra operative is discomfort. 7 patients of group A experienced discomfort while 4 patients of group Bexperienced discomfort. Backache was experienced by one patient of cryotherapy group and one patient ofelectrocautary group experienced bleeding. Both groups were compared by T test, p value >0.05 so the differenceis not statistically significant. Most common immediate postoperative complaint was pelvic pain. ThreeCryotherapy patients experienced pelvic pain. Two electrocautary patients experienced discomfort and one patientexperienced bleeding after procedure.Conclusion: Though in short term follow up electrocautry seems to be better than cryocautry. But if seen in longterm follow up both are equally good.