Role of an IUCD in managing patients with post-LLETZ cervical stenosis

Samantha Ross; Kalpana Ragupathy

doi:10.1136/bcr-2021-246118

Role of an IUCD in managing patients with post-LLETZ cervical stenosis

BMJ Case Rep. 2022 Mar 1;15(3):e246118. doi: 10.1136/bcr-2021-246118.

Authors

Samantha Ross¹, Kalpana Ragupathy²

Affiliations

¹ University of Dundee School of Medicine, Dundee, UK slzross@dundee.ac.uk.
² Gynaecology, University of Dundee College of Medicine Dentistry and Nursing and Ninewells Hospital, Dundee, UK.

Abstract

Large loop excision of the transformation zone (LLETZ) is one of the fertility sparing treatments for people with high-grade cervical intraepithelial neoplasia, however, this procedure is known to increase the risk of postoperative cervical stenosis by 1.3%-5.2%. We present a case demonstrating the successful use of a copper intrauterine contraceptive device to manage a patient with cervical stenosis secondary to three LLETZ procedures for severe dyskaryosis.

Keywords: cancer - see oncology; cervical screening; gynecological cancer.

Publication types

Case Reports

MeSH terms

Colposcopy / methods
Constriction, Pathologic / surgery
Female
Humans
Pregnancy
Trachelectomy*
Uterine Cervical Dysplasia* / surgery
Uterine Cervical Neoplasms* / surgery