Cone Biopsy / Cervical Conization

What is a Cone Biopsy?

Cone Biopsy is done to remove a cone-shaped piece of tissue from the cervix(Neck of the Womb). The cervix is located at the upper end the vagina and is the entry way into the uterus(womb).

Alternate Names of Cervical Cone Biopsy?

Cervical conization

Why you need this operation?

A cervical conization is used to diagnose and to treat cervical cancer or precancerous changes in the cervix. The procedure takes place after a woman has had abnormal Pap smears. Pap smears are screening tests to detect abnormal, pre-cancerous, and cancerous cells in the cervix.

How long you are required to be hospitalised?

The procedure will take half an hour and you are admitted for few hours to one day.AnesthesiaGeneral Anesthesia or as decided by the AnesthetistIncision/CutNo incision or cut on the skin.

What can be the Possible Complications?

Complications are rare, but no procedure is completely free of risk. If you are planning to have a cervical conization, your doctor will review a list of possible complications, which may include:

  • Bleeding
  • Infection
  • Scarring of the cervix leading to stenosis (tight closure) of the cervix
  • Cervical incompetence which may lead to Premature delivery with future pregnancies

What to expect before the surgery?

  • Doctor will take your written consent for the surgery
  • Inform Doctors about drug allergy or any current medication.
  • Being all related investigation to hospital.
  • Do not eat or drink anything for 8 hours prior to the procedure.

How it is done?

A speculum will be inserted into the vagina, similar to a Pap smear. It will hold your vagina open and allow instruments to pass easier. Your doctor will use a knife, laser, or heated loop to remove a cone-shaped piece of tissue from the cervix. If there are abnormal cells, they will also be removed or vaginal route may be kept to control bleeding from cut area, which will be removed post operatively or may be burned. Self-absorbable sutures may be placed in the cervix to control bleeding.The tissue will be sent to a lab to test for cancer. The test results will be available within a week.

What to expect after the surgery?

At the hospital

  • You will rest in a recovery area until the anesthesia wears off. When you are awake and aware, you will be able to go home.
  • Pass urine before discharge.
  • At HomeWhen you return home, do the following to help ensure a smooth recovery:
    • Plenty of water orally some pain killer would be given at the discharge.
    • You may have some pain for which pain killer medicines would be prescribed at the time of discharged.
    • You may have some bleeding or discharge from your vagina for several days post surgery.
    • A sanitary napkin or pad may be worn. Tampons should not be used for a month or more after the surgery.
      • Sexual intercourse is discouraged for 4-6 weeks.
      • Showers and baths are OK.
      • Be sure to follow your doctor’s instructions.
      A postoperative exam takes place at six weeks.

When to Contact your Gynecologist?

After arriving home, contact your doctor if any of the following occurs:

  • Signs of infection, including fever, chills, or smelly discharge from vagina
  • Heavy vaginal bleeding (This may not occur until about one week after the operation,when the healing scar is shed from the cervix.)
  • Abdominal or pelvic pain that worsens.
  • Burning while passing urine.

Do you need for any further treatment?

The need for any further treatment be decided according to histopathology report of tissue removed, during your followup with your gynecologist.