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Risk factors for cervical stenosis after loop electrocautery excision procedure.
E J Suh-Burgmann1, D Whall-Strojwas, Y Chang
1Department of Obstetrics and Gynecology, Massachusetts General Hospital, Boston, Massachusetts, USA.
Obstetrics and Gynecology
|October 24, 2000
Summary
Cervical stenosis occurred in 6% of women after loop electrosurgical excision. Previous excisions and larger tissue removal significantly increased the risk of developing cervical stenosis.
Area of Science:
- Gynecology
- Surgical Pathology
Background:
- Cervical dysplasia is a common condition requiring treatment.
- Loop electrosurgical excision procedure (LEEP) is a standard treatment for cervical dysplasia.
Purpose of the Study:
- To determine the incidence of cervical stenosis following LEEP.
- To identify risk factors associated with cervical stenosis post-LEEP.
Main Methods:
- A retrospective chart review of 164 women undergoing LEEP for cervical dysplasia.
- Cervical stenosis defined as requiring manual dilation for endocervical sampling.
- Multivariable logistic regression analysis to identify predictors of stenosis.
Main Results:
- Cervical stenosis developed in 6% of women (10 out of 164).
- Independent predictors of cervical stenosis were a history of previous loop excision and the volume of the excised tissue specimen.
Conclusions:
- Cervical stenosis is a potential complication of LEEP.
- Women undergoing repeat or large volume excisions have a higher risk of cervical stenosis and should be counseled accordingly.