Cervical Cryotherapy Surgery
Cervical cryotherapy surgery refers to the freezing and destruction of abnormal tissues in the cervix. During surgery, a device called a probe is used. Contact of the probe into the cervix allows the freezing process to take place. Usually it is enough to reduce the temperature to – 20 degrees, but the final temperature is determined by the decision of the physician. Cervical cryotherapy surgery, which is a quick and easy treatment method, is also preferred because it is affordable.
For patients who chronically complain of cervical wounds, cryotherapy has a 95 percent success rate. In early diagnosis, the operation can be performed more easily and quickly. Patients who complain of lesions in the cervix, whether large or small, can consult with the physician to see if they are suitable for the operation.
What is Cervical Cryotherapy?
Cervix refers to the cervix in the medical literature. Cryotherapy is the process of freezing cervical wounds and abnormal cervicals, wart treatment or vulva tissues using low temperatures. In this way, the tissues are practically destroyed. It is also used in the treatment of CIN 1, CIN 2 and precancerous lesions in the cervix that form in the cervix before cancer. If the size of the wounds in the cervix is large, cauterization, which is a burning treatment, is applied instead of freezing treatment.
Cervical cryotherapy surgery is performed widely, the risk of complications is minimal. Cryotherapy is not applied while menstruating or during pregnancy. Approximately 2 – 4 sessions can be performed with intervals of 2 – 3 weeks depending on physician preferences and patient's condition. After the surgery, the tissues in the area die and the shell forms. Then these shells fall out on their own. In some cases, warts or lesions can be re-observed in the area.
What Area Is Cervical Cryotherapy Looking At?
Cervical cryotherapy is diagnosed and treated by obstetricians and gynecologists as it is the freezing of cervical wounds and warts located in the female genital area. Patients who complain of lesions in the cervix should visit their gynecologist. Pap smear test is performed on the patient to perform the surgery. Women whose period ends can have this test after 10 to 20 days have passed. No cream or medication should be applied to the uterus before the test.
The PAP smear test is performed to perform the screening of cervical cancer of the patient. Newly formed lesions are diagnosed and provide great convenience in both diagnosis and treatment. The success rate of pap smear test is high. The procedures are completed completely painlessly in approximately 30 seconds. The vagina should not be cleaned before the test and sexual intercourse should not be done until at least 48 hours ago. If genital infection is present, it is treated first.
What is Cervical Cryotherapy Surgery?
The freezing process is applied to treat the area of the cervix affected by the lesion. Although the operation is successful in eliminating lesions painlessly, the inability to perform histological examination is a disadvantage. For this purpose, PAP smear test is taken before surgery. When the gynecologist detects lesions in the area, he cannot apply burning or freezing directly. Cervical cryotherapy surgery may rarely cause cervical closure and stiness.
During the operation, the patient does not feel any pain, cramps that resemble menstrual pain may occur, but it passes in as little as 1 or 2 minutes. Depending on the patient's condition, the physician may administer painkillers or recommend their use. In rare rare years, the patient may have a strange feeling in her vagina. It can also be described as cold, but it is insignificant and quickly disappears. During surgery, the patient lies on his back. A tool called speculum is used to provide a clear viewing angle in the uterus.
How is cervical cryotherapy surgery performed?
Cryotherapy device is used during cervical cryotherapy surgery. Using the device or tube, nitrous oxide gas with low temperatures is pumped in the direction of cryotherapy probe. Nitrous oxide rapidly lowers the temperature of the end of the probe. The obstetrician and gynecologist probe touches the area of the cervix that needs to be frozen. In this way, the lesions freeze to burn. Anesthesia is not required for the operation to be performed, the patient does not feel pain, but a slight cramp may occur.
Depending on the sensitivity of the patient, in some cases local anesthesia can be used, albeit rarely. The size of the probe is selected to be directly proportional to the size of the lesion in the cervix. The area to be frozen should be around 5 millimeters wider than the probe. The depth of the frozen area was measured as 3.8 millimeters on average. In the case of genital warts, cryotherapy is applied with the help of spraying. Nitrogen gas is preferred because it is more effective on warts.
Cervical Cryotherapy Surgery
Cervical cryotherapy surgery is not performed on the patient in some cases. These situations include:
- Pregnant women
- Cancer patients
- When it comes to large lesions
- When pathology is detected in abortion
- In recurrent lesions
- In the presence of active cervical infection
- In the presence of CIN 2 – 3
If abdominal cramps, pain, bleeding and fever, discoloration, scar formation, hair or sweat gland damage occurs after the operation, the physician should be contacted. If the patient observes the signs of infection, suffers pain for more than 24 hours, if the severity of bleeding and vaginal discharge is high, he will be re-examined. These complications are very rarely observed in patients. Mostly routine checks are sufficient for the patient.
What are the Advantages of Cervical Cryotherapy Surgery?
Cervical cryotherapy surgery is widely preferred in the field of gynecology. The fact that it has many advantages for the patient and also for the physician is one of the reasons why it is so popular. First of all, cryotherapy has a high success rate. It can be done quickly in outpatient conditions. There is no need to apply anesthesia for the patient because the nerve ratio in the uterine tissue is low. Therefore, the patient does not feel pain during the operation.
The risk of bleeding after surgery is extremely low, so that there is no disruption in daily life. It can be applied in all women who have given birth, wanted to have children or have gone through menopause, do not affect their reproductive potential. In addition, its affordability makes the operation accessible. The probability of serious complications or injuries is very small.
Process After Cervical Cryotherapy Surgery
After cervical cryotherapy surgery, the patient may have aqueous discharge for 3- 4 days. This discharge means that the frozen cells are excreted from the body, so it can have a bad smell. It is forbidden to have sexual intercourse for the first 3 to 4 weeks after the operation. Since the uterine region is prone to both infection and trauma, it is inconvenient to enter the pool, sea, jacuzzi or bathtub. At the same time, vaginal showers should not be performed.
Pap smear test should be performed again after 3 months after the surgery. If the test results are normal, pap smear test is regularly applied every 6 months for the following 2 years. If a lesion is observed in smear test after 3 months, LEEP or biopsy should be performed. If the cervix lesion is to repeat, it usually occurs within the first 2 years. Therefore, it is extremely important to routinely monitor the uterine region, it should not be neglected.
https://my.clevelandclinic.org/health/treatments/9120-cryosurgery-of-the-cervix
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