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Complications of cone biopsy related to the dimensions of the cone and the influence of prior colposcopic assessment
Author(s) -
LUESLEY D. M.,
McCRUM A.,
TERRY P. B.,
WADEEVANS T.,
NICHOLSON H. O.,
MYLOTTE M. J.,
EMENS J. M.,
JORDAN J. A.
Publication year - 1985
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/j.1471-0528.1985.tb01068.x
Subject(s) - colposcopy , medicine , stenosis , biopsy , retrospective cohort study , infertility , obstetrics , gynecology , pregnancy , surgery , radiology , cervical cancer , genetics , biology , cancer
Summary. A retrospective study of the complications of cone biopsy showed that among 9 15 women examined between the years 1976 and 1982, 121 (13%) had primary or secondary haemorrhage, 153 (17%) cervical stenosis and 39 (4%) subsequent infertility or an abnormal pregnancy. Cervical stenosis was commonest among women who had had long cones removed. Stenosis occurred more often in the group of women who had been assessed by colposcopy before operation but this was due to the fact that prior colposcopy selected a favourable group of patients with lesions of limited extent that were susceptible to treatment by local destructive therapy, so that prior colposcopic assessment resulted in the removal of longer cones.