Cryotherapy for cervical lesions: efficacy and patient satisfaction
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20172296Keywords:
Benign cervical lesions, Cryocauterization, Cervical erosionAbstract
Background: Vaginal discharge is a distressing commonplace gynecological condition seen in all age groups albeit from different causes. This study evaluates the outcome of cryotherapy on benign cervical lesions over a period of 2 years in a tertiary care centre. Efficacy of cryotherapy in making patient symptom free. Efficacy of cryocauterization in healing the cervical lesion.
Methods: This is prospective observational study of 30 women of reproductive age group attending outpatient department for complaint of vaginal discharge. Cervical cytology was performed for all women and out of the women advised cryotherapy, those fitting inclusion criteria and consenting for study were enrolled. Their findings and investigations were noted. After they underwent cauterization, they were followed for period of 3 months. Findings, complications and level of satisfaction were noted down.
Results: Healing of cervical lesion was complete in 96% women at the end of 12 weeks. There was 1 failure of therapy among sample size of 30. Satisfaction rate was high.
Conclusions: Cervical cryocauterization is a cheap, effective and simple procedure for treatment of cervical lesions. There are few complications and patient satisfaction is high. It is an easily accessible and safe procedure and helps preserve fertility of women at the same time addressing the vaginal discharge.
References
Goldacre M, Loudon N, Watt B. Epidemiology and clinical significance of cervical erosion in women attending family planning clinic. BMJ. 1978;1:748-50.
Rocha-Zavaleta L, Yescas G, Cruz RM. Human papillomavirus and cervical ectopy. Int J Gynaecol Obstet. 2004;85:259-66.
Louv W, Austin H, Perlman J. Oral contraception use and the risk of chlamydial and gonococcal infections. Am J Obstet Gynecol. 1989;160:360-402.
Sarkar P, Steel P. Routine colposcopy prior to treatment of cervical ectopy: is it worthwhile? J Obstet Gynaecol 1996;16:96-7.
Sankaranarayanan R. Effectiveness, safety and acceptability of ‘see and treat’ with cryotherapy by nurses in a cervical screening study in India. Br J Cancer. 2007;96(5):738-43.
Szemesi I, Matányi S, Scömör S. Use of cryocoagulation in gynecology. Acta Chir Acad Sci Hung. 1976;17(4):317-27.
Hurt W. Cryotherapy of the cervix. J Fam Pract. 1979;9(1):109-11.
Konnegen V, Heber G, Richter P, Köhler B. Ambulatory cryosurgical restoration of benign cervical lesions. Zentralbl Gynakol. 1984;106(9):611-5.
Baram A, Paz G, Peyser M, Schachter A, Homonnai Z. Treatment of cervical ectropion by cryosurgery: effect on cervical mucus characteristics. Fertil Steril. 1985;43(1):86-9.
Wojtyś A, Zdebski Z. Effects of low-temperature treatment of pathologic changes of the cervix uteri. Ginekol Pol. 1989;60(5):276-9.
Matányi S. Side effects and complications of cervical cryotherapy. Acta Chir Hung. 1992-1993;33(1-2):157-62.
Mariategui J, Santos C, Taxa L, Jeronimo J, Castle PE. Comparison of depth of necrosis achieved by CO2- and N2O-cryotherapy. Int J Gynaecol Obstet. Jan 2008;100(1):24-6.
Kwikkel H, Helmerhorst T, Bezemer P. Laser or cryotherapy for cervical intraepithelial neoplasia: a randomized study to compare efficacy and side effects. Gynecologic Oncology 1985;22(1):23-31.
Andersen E, Husth M. Cryosurgery for cervical intraepithelial neoplasia: 10-year follow-up. Gynecol Oncol. 1992;45(3):240-2.
Hemmingsson E. Outcome of third trimester pregnancies after cryotherapy of the uterine cervix. Br J Obstet Gynaecol. 1982;89(8):675-7.
Guijon F, Paraskevas M, McNicol P. Human papillomavirus infection and the size and grade of cervical intraepithelial neoplastic lesions associated with failure of therapy. Int J Gynaecol Obstet. 1993;42(2):137-42.
Kulkarni R, Durge. Role of socio-economic factor and cytology in cervical erosion in reproductive age group women. Indian J Med Sci. 2002;56(12):598-601.
Mohanty K, Rand R, Berry B. Cryotherapy in the management of cervical ectopy. Genitourin Med. 1985;61(5):335-7.
Gay C, Riehl C, Ramanah R, Desmoulin G, Violaine B. Cryotherapy in the management of symptomatic cervical ectopy. Gynecol Obstet Fertil. 2006;34(3):214-23.
Peck J. Cryosurgery for Benign Cervical Lesions. Br Med J. 1974; 2(5912):198-9.
Alvarez B. Cryosurgery of the uterine cervix. Ginecol Obstet Mex. 1991;59:105-11.
