Cervical conisation

A cone-shaped piece of tissue (conus) is excised from the cervix. This can be done with a surgical blade or laser beam. This treatment may be appropriate for larger lesions.

The treatment may be performed under general anaesthesia during an outpatient admission or a hospitalisation.

After an abnormal pap smear: that is, if abnormalities are observed.

The abnormal portion of the cervix is removed by performing a conisation.

This can be done via a loop electrosurgical excision. This procedure uses a thin, electrically heated, metal loop.

For larger lesions, a surgical blade will be used for this purpose.

You may experience vaginal discharge or bleeding for a few days. During the first few days, this may be accompanied by a feeling similar to menstruation or even some cramp-like lower abdominal pain. Pain medication can also help with this.

Because the cervical mucosal layer needs to heal, you are advised to refrain from the following for three to four weeks:

• sexual intercourse
• using tampons
• vaginal douches

• Profuse blood loss
• Foul-smelling vaginal discharge
• Fever higher than 38°C
• Worsening lower abdominal pain

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Latest publication date: 13/08/2024
Supervising author: Dr Verschueren Eva