Cervical curettage surgical procedures

Cervical Curettage Surgical Procedures

Cervical curettage is a surgical procedure that involves the removal of tissue from the cervix. The cervix is the lower, narrow end of the uterus that connects to the vagina. Cervical curettage is typically performed to diagnose or treat abnormal cervical cells, such as those caused by cervical intraepithelial neoplasia (CIN) or cervical cancer.

Types of Cervical Curettage

There are two main types of cervical curettage:

1. Endocervical curettage (ECC): This procedure involves the removal of tissue from the endocervical c***, which is the inner opening of the cervix. ECC is typically performed to diagnose or treat abnormal cells in the endocervical c***.

2. Exocervical curettage (EXC): This procedure involves the removal of tissue from the exocervix, which is the outer surface of the cervix. EXC is typically performed to diagnose or treat abnormal cells on the exocervix.

Indications for Cervical Curettage

Cervical curettage may be recommended for a variety of reasons, including:

To diagnose abnormal cervical cells, such as those caused by CIN or cervical cancer

To remove abnormal cervical tissue, such as in the case of CIN or cervical cancer

To treat heavy menstrual bleeding

To remove polyps or other growths from the cervix

To obtain a sample of cervical tissue for testing

Risks and Complications of Cervical Curettage

Cervical curettage is a relatively safe procedure, but it does carry some risks and complications, including:

Bleeding

Infection

Pain

Cramping

Nausea and vomiting

Dizziness or fainting

Damage to the cervix

Scarring of the cervix

In rare cases, cervical curettage can lead to cervical stenosis, which is a narrowing of the cervical opening. This can make it difficult to get pregnant or to give birth.

Preparation for Cervical Curettage

Before undergoing cervical curettage, you will need to:

Tell your doctor about any medications you are taking, including blood thinners or anticoagulants.

Avoid taking aspirin or ibuprofen for several days before the procedure.

Fast for 8 hours before the procedure.

Procedure for Cervical Curettage

Cervical curettage is typically performed in a doctor's office or outpatient surgery center. The procedure usually takes about 15-30 minutes.

During the procedure, you will lie on your back with your feet in stirrups. Your doctor will insert a speculum into your vagina to hold it open. They will then use a curette, which is a small, spoon-shaped instrument, to scrape tissue from the cervix.

The tissue that is removed will be sent to a laboratory for testing. The results of the test will help your doctor determine if you have any abnormal cells and, if so, what treatment is necessary.

Recovery from Cervical Curettage

After cervical curettage, you may experience some bleeding, cramping, and pain. These symptoms typically subside within a few days.

You should avoid strenuous activity for a few days after the procedure. You should also avoid using tampons or having sexual intercourse for at least 2 weeks.

Outlook after Cervical Curettage

Most women who undergo cervical curettage have a good outcome. The procedure is effective in diagnosing and treating abnormal cervical cells and in preventing cervical cancer.

However, it is important to follow your doctor's instructions carefully after the procedure. This will help to minimize the risk of complications and ensure a successful recovery.

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