Management of hematocervix after loop electrosurgical excision procedure

Management is not established for the uncommon complication of cervical stenosis secondary to a loop electrosurgical excision procedure resulting in a hematocervix.

A premenopausal woman underwent an electrosurgical procedure performed without complications and subsequently developed amenorrhea. The patient was determined to have developed a hematocervix secondary to the electrosurgical procedure. Increasingly aggressive methods were attempted to drain the hematocervix, finally with successful drainage being accomplished with the use of a manual vacuum aspirator. A catheter was then used to maintain patency of the cervical canal as it re-epithelialized.

Manual vacuum aspiration and placement of a catheter to allow for re-epithelialization is a successful strategy to deal with hematocervix caused by electrosurgical procedures.