Loop biopsy of the cervix by radio wave method. How is a cervical biopsy performed and what does it reveal, discharge after the study. How is the manipulation carried out?

A biopsy of the cervix at an affordable price in Moscow is carried out at the Center for Medicine and Cosmetology "Health" on Elektrozavodskaya. The appointment is led by a doctor with twenty years of experience. Depending on the type of study, the procedure can be performed on an outpatient basis and with hospitalization. CMC "Health" makes sure that patients receive not only high-quality medical services, but also a courteous human attitude. The doctor will warn the patient about the possible consequences and complications of the biopsy.

Among oncological diseases of the female reproductive system, immediately after breast cancer, the pathology of the cervix occupies a leading position. Systematic examinations by a gynecologist are truly frightening: half of the inhabitants of our country have certain changes in the cervical canal or the cervix itself. That is why a biopsy of the cervix is ​​one of the most frequently prescribed diagnostic and treatment procedures in gynecology.

Biopsy of the cervix - a histological examination (in other words, an analysis of the type and properties of tissues) of a section of the surface layers of the cervix. This study allows you to study the structure of tissues, compare them with normal ones and detect the presence and type of pathology in the cervix or cervical canal (from the Latin cervix - neck) - the narrow lower part of the uterus that connects its cavity with the vagina.

The procedure is performed in case of suspicion of cervix pathology according to the results of a cytological or Pap smear. Also, the study is carried out during colposcopy under the control of optical equipment.

Cervical biopsy serves as a diagnostic method in patients in the following situations:

  • According to the results of a cytological smear, if atypical cells are found in the latter;
  • According to the results of a smear in which koilocytes are present - cells that are specially modified with signs of infection with human papillomavirus;
  • If a site of hyperkeratosis or leukoplakia of the cervical mucosa is found (conditions in which the typical epithelium of the cervix is ​​replaced by a keratinizing characteristic of the upper layers of the skin);
  • Areas of dysplasia - degeneration of the epithelium, which in fact is not malignant, but without treatment becomes one;
  • With polyps of the cervix and cervical canal;
  • In the presence of genital warts on the vaginal part of the cervix;
  • With erosion;
  • If areas with uncharacteristic changes were found colposcopically: iodine-negative or acetowhite spots, rough punctuation or mosaic, newly formed vessels, etc.

With polyps, condylomas or erosion, the procedure is not only diagnostic, but also therapeutic in nature: the formation is excised within healthy tissues, and the resulting material is sent to the laboratory for histological analysis.

If the erosive lesion is of considerable size and the biopsy will not bring a therapeutic effect, the patient is prescribed a biopsy of the cervix before cauterization of the erosion. Studying the properties of the resulting biopsy allows you to most accurately calculate the depth and volume of the planned treatment.

Contraindications for the procedure

Cervical biopsy is postponed or prohibited altogether in the presence of the following conditions or diseases:

  • Acute or exacerbated chronic diseases of the internal genital organs of an infectious-inflammatory nature;
  • During menstruation or any other uterine bleeding;
  • With pathology of the blood coagulation system.

Relative contraindications are:

  • The period of bearing a baby. A cervical biopsy during pregnancy is possible in cases where the benefits of the procedure outweigh the harm of potential complications. When the manipulation cannot be postponed until the end of pregnancy, it is prescribed for the second trimester, since in the early stages the procedure can cause a threat of interruption of gestation, and in the later stages it can cause premature birth.
    To date, there are gentle methods of biopsy sampling, which are also used in pregnant patients and do not threaten the bearing of a child.
  • Early postpartum period. Ideally, cervical biopsy is not used as a diagnostic method in the early postpartum period, since the results of the study may be unreliable. To obtain a biopsy specimen, the reliability of which there will be no reason to doubt, they are waiting for the restoration of the birth canal and, in particular, the cervix (on average, this takes 2-3 months).

Preparing for a cervical biopsy

In order for the procedure to pass without complications, the patient is prescribed a number of studies:

  • Blood test for papillomavirus DNA, pathogens of hepatitis or immunodeficiency virus;
  • Vaginal smear for flora (to exclude colpitis);
  • The study of cervical mucus (in particular, bacteriological);
  • Blood test to rule out clotting pathology.

If the results of the study suggest that the procedure is possible, the patient is informed about how to prepare for a biopsy of the cervix. To prepare, a woman should refrain from intimacy, the use of tampons, vaginal suppositories or tablets, and douching. These restrictions must be observed within two days before the procedure.

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A biopsy of the cervix is ​​​​appointed on the sixth to tenth day of the cycle (the countdown of the new cycle starts from the first day of each next menstruation). Some biopsy sampling techniques have minimal trauma. Procedures of this type do not require prior or subsequent hospitalization and are performed on an outpatient basis without anesthesia.

An extensive biopsy of the cervix, especially a knife biopsy, requires the use of anesthesia. It is believed that the cervix is ​​not particularly sensitive, so you can limit yourself to local anesthesia. In cases where anesthesia is used for anesthesia, the patient must first observe hunger during the previous 12 hours of manipulation.

The procedure depends on the choice of methods, which are from three to nine according to various classifications. Below we will talk about the most common of them.

A targeted biopsy of the cervix (also called a puncture, or colposcopic, technique). It is this biopsy sampling technique that meets international requirements as much as possible and is therefore adopted as a standard. It gives the most informative results in case of suspected oncopathology, since it allows the sampling of material, including all layers of the cervix epithelium. The procedure is carried out with a thin needle, which pierces the suspicious area. At the same time, tissues remain inside the needle in the form of a column, in which the natural sequence of tissue layers is preserved.

A type of targeted biopsy of the cervix is ​​considered an aspiration technique, which is performed using a small syringe. The suction of the studied area is carried out under negative pressure.

The study is almost painless, so in most cases it does not even require the use of local anesthesia. Patients describe sensations as discomfort, tingling, or pressure.

Knife biopsy of the cervix

This technique is also called wedge-shaped, cold-knife biopsy or cervical conization. This type of procedure is used for therapeutic and diagnostic purposes: the doctor excises not only the tissues affected by the pathological process, but also part of the healthy ones, therefore this type of biopsy is also called extended. This removes the triangular section of the neck. Excision of the affected area is completed with catgut sutures.

A knife biopsy of the cervix is ​​not performed in women and girls who plan to become pregnant, as the procedure can lead to cervix deformity and problems with pregnancy and childbirth.

The manipulation is carried out using anesthesia or anesthesia, and after it, the patient can be hospitalized for a day.

A more extensive biopsy of the cervix, carried out according to the same principle, is a circular, or circular, biopsy. This method is used for significant sizes of the pathological process. This may be a biopsy of the cervix during erosion, especially if the areas of dysplasia pass into the lumen of the cervical canal. In this case, the excision of the neck occurs in a circle with the capture of part of the cervical canal. For this procedure, anesthesia or anesthesia is used.

For less trauma and reduce the risk of complications, a radio wave biopsy of the cervix can be performed. this method has minimal trauma, and even a circular biopsy of the cervix with dysplasia does not cause scarring of the cervix.

Loop biopsy of the cervix

This method is also called electrosurgical (electroexcision). The procedure consists in peeling off areas of dysplasia with a special tool in the form of a loop through which a current is passed. In this case, local anesthesia is used.

Radio wave biopsy of the cervix

Radio wave biopsy of the cervix is ​​the method of choice in young and nulliparous patients. The principle of operation of the Surgitron apparatus, with which the intervention is carried out, is to direct specially converted radio waves to suspicious tissues. At the site of exposure to the concentrated energy of radio waves, the cells evaporate, and the resulting low-temperature steam coagulates the vessels, so that the surgical field remains dry.

For this reason, the radio wave biopsy of the cervix is ​​rarely accompanied by the development of complications, and the area from which the biopsy was taken heals quickly without a scar.

A biopsy of the cervix with erosion by the radio wave method is used even in adolescent girls, since it is non-contact and does not require anesthesia.

Consequences of a biopsy

In most cases, women after this test experience spotting from the vagina, which, as a rule, does not last longer than a week. There may also be slight pulling sensations, as during menstruation. Blood after a biopsy of the cervix takes the longest time with a knife and loop method of intervention (there are frequent cases of heavy bleeding lasting up to 7-10 days, after which a spotting appears, which persists for 1-2 weeks).

The body of some women reacts to the procedure with an increase in body temperature. This is a variant of the norm if the temperature does not reach febrile numbers (38 ° C).

The following symptoms should alert a woman:

  • Long-lasting fever or fever;
  • Severe and prolonged bleeding;
  • Significant pain in the lower abdomen;
  • The appearance of uncharacteristic secretions.

To avoid complications after a cervical biopsy, the cost of which varies depending on the technique, you must adhere to the rules and restrictions:

  • Refrain from intimacy for two weeks - one month;
  • For the same period, refuse tampons, douches and vaginal preparations;
  • Use a shower instead of a bath;
  • Do not lift weights or engage in heavy sports;
  • Avoid visiting public saunas, baths, pools, etc.

Remember: diseases, especially cancer, are easier and cheaper to prevent than to cure. Cervical cancer is much more difficult to cure than dysplasia, which is successfully treated even at the third, severe stage. Cervical biopsy is a simple, affordable and reliable way to preserve your health, and sometimes the life of women with pathology of the cervical canal and the vaginal part of the cervix.

If, during the examination of a woman, the doctor suspected that she had dysplasia or a cancerous tumor, then, most likely, the patient will be sent for an additional examination, which will help confirm or refute this fact. Most often, as an additional procedure, radio wave biopsy of the cervix. A biopsy allows the doctor to understand the nature of the neoplasms that appear on the neck. Based on the results obtained, the doctor draws up a further scheme of therapeutic measures.

Reasons for referral for biopsy

Any unwanted formation in the uterine cervix can lead a woman to a biopsy procedure. The most common of them are:

. Such a common disease of the cervix among women as erosion.

Hyperkeratosis. This disease appears when the mucous membrane on the cervix begins to behave like skin epithelium. Normally, the mucous membrane of the cervix should not change its soft and elastic state. In case of violations in the functioning of the uterine cervix, the layer of epithelium covering it can gradually thicken and become horny over time.

Polyps that appear on the cervix can confuse the gynecologist.

Condylomas. These are some outgrowths on the skin in this case in the genital area.

Preparing for a biopsy

How to prepare for this procedure:

. The first thing to do before a biopsy is to choose the right day for it. The most suitable time for this procedure is the period from the 7th to the 13th day of the menstrual cycle.

It should be 2 days to refrain from sex and from the use of cotton swabs in the vagina.

Refuse hygiene procedures that require intravaginal douching.

Do not use intravaginal medications unless your doctor has advised you to do so.

If the patient requires general anesthesia for the biopsy procedure, then doctors advise not to eat 8 hours before the start of surgery.

Before the procedure itself, the patient must submit her biological material in advance for examination in the laboratory.

Choose the right professional specialist who can perform the biopsy procedure with minimal risk of unwanted complications.

Necessary laboratory examinations of biological material:

. It is necessary to do a general blood test and evaluate its coagulative ability.

The state of the vaginal flora should be studied and the presence of sexually transmitted infections should be completely excluded.

cytology and colposcopy.

Radio wave biopsy of the cervix refers to methods of surgical intervention in the female body, which does not require damage to the tissues of the uterine cervix. This minimizes the risk of unwanted complications. During the operation, a radioknife is used, and the patient is not given general anesthesia. Postoperative bleeding during radio wave biopsy is not abundant and after 3 days it completely stops.

Also in this case, the risk of scarring is minimal. This is a very gentle type of biopsy, which no doubt is offered even to women who plan to become a mother in the future. But no matter how many positive aspects this method has, it is still an operation. And you should entrust your health only to an experienced specialist. If you have been prescribed a biopsy, we invite you to seek help from our medical center in Moscow. Our doctors have many years of practical experience in the field of gynecology, which includes successful operations of varying complexity. Our clinic has all the medical equipment necessary for quality patient care.

Contraindications for cervical biopsy

Let's designate those complications which can arise after operation:

. Inflammatory process in the female body. You must first undergo a course of necessary therapy.

Menstruation. With menstruation, it will not be possible to achieve the desired result. Doctors advise to wait for them to finish.

Presence of a developing pregnancy.

As you know, almost 50% of women suffer from various diseases of the cervical body of the uterus. If any pathological processes are found in this organ, specialists prescribe a full-scale diagnosis. To determine the exact diagnosis, as well as to establish the nature of the neoplasm (malignant or benign), as a rule, a biopsy is prescribed. During the biopsy procedure, comparative samples of the affected areas of the epithelial layer in the neck of the uterine organ are taken from the patient. To date, there are several distinctive methodological types of biopsy examination of the uterine cervix.

A biopsy of the cervical body of the uterus is considered an ordinary manipulation. Depending on the type of biopsy, the procedure may take on the character of an operational action (for example, a knife biopsy is performed under the influence of local or general anesthetics). After tissue sampling, comparative samples are sent for histological examination. If there are indications, a specialist can perform scraping of the mucous tissue from the cervical canal. Currently, a biopsy is recognized as one of the full-scale, most informative and accurate ways to detect a precancerous condition, the presence of inflammatory or infectious processes.

What types of biopsy examinations are used by specialists?

Today, in order to conduct a biopsy of the cervix, specialists use various techniques. The method of sampling is determined strictly individually for each patient. There are the following types of biopsy procedures:

  • Colposcopic;
  • conchotomous;
  • radio wave;
  • laser;
  • Loop;
  • wedge-shaped;
  • Circular (circular);
  • Curettage of the endocervical canal.
Circular biopsy procedure in a woman

Today, experts prefer to conduct a biopsy using a radio wave research method. Such a biopsy of the uterine neck, first of all, is indicated for nulliparous patients. In Russia, as well as in the countries of the Commonwealth of Independent States, special equipment of the Surgitron type is used to perform such a procedure.

A biopsy performed by the radio wave method does not entail serious consequences, since it does not cause significant damage to the tissue coating. After undergoing such a procedural action, patients are practically not subject to complications. As already mentioned, a biopsy radio wave analysis of the cervix of the uterine body is performed using special equipment. In practice, it is called a "radio knife".

A biopsy in this way does not require prior administration of anesthetics. The sampling of comparative samples of the epithelial layer of the cervix of the uterine body is carried out in the office of the attending specialist and lasts a short time. As practice shows, there are practically no discharges after the transfer of a biopsy analysis by the radio wave method. Some patients may experience the appearance of bloody discharge for no more than 3 days. There are no scars on the neck of the uterine body, and the risk of their occurrence is too small. Experts believe that this method of examination is optimal for patients who plan childbearing in the future.

For more information about radio wave biopsy of the cervix, see this video:

How to prepare for a radio wave biopsy?

The described biopsy is usually performed immediately after the colposcopic diagnosis. Before performing a biopsy analysis of the cervical uterus, the patient must perform certain preparatory actions, in particular:

  • Undergo a consultation and examination of a visual nature with a treating specialist;
  • Make a colposcopic diagnosis (regular or extended);
  • To pass analyzes of the neck of the body of the uterine organ of the histological type;
  • Pass smears to identify hidden infectious pathogens and determine the state of the flora;
  • Provide bacteriological culture from the vaginal compartment;
  • Undergo a general diagnosis (blood tests, ultrasound examination, etc.).

To extract the affected area of ​​the epithelial layer, along with special equipment, a colposcope is used. With its help, specialists can control the sampling process. In general, the study of the obtained analyzes of the cervix of the uterine body lasts about 14 days. After undergoing a radio wave procedure, doctors strongly recommend that you come for a scheduled examination in about one week.

You can learn more about using a colposcope with the help of this video:

A biopsy using radio wave technology is considered almost painless. During manipulation, the patient may experience slight discomfort in the lower abdomen. Each patient has her own pain and sensitivity threshold, so the opinion on the pain of biopsy analysis of the cervical body of the uterus is very diverse. Slight pain may be experienced when sampling from various affected areas. Some doctors may use local anesthetics (such as lidocaine). With the introduction of anesthetics, the patient is warned in advance about the observance of a sparing diet (approximately half a day before the procedure).

The use of radio wave technologies for medicinal purposes

As you know, radio wave technologies are used not only for biopsy of the cervical uterus, but also for medicinal purposes. Due to the use of high-frequency electronic surgical equipment, the radio wave method of treatment or taking comparative samples for biopsy is recognized as the least traumatic.

The aforementioned apparatus of the "Surgitron" type is used in practice not only for biopsy analyzes of the cervix of the uterine body, but also for the treatment of erosive processes occurring in the uterine cervical region. Exposure to radio waves is carried out in a high temperature range. As already mentioned, when using radio waves to perform biopsy analyzes, anesthetics are not used. Using radio waves for therapeutic purposes, a local anesthetic can be administered to the patient. Radio wave treatment of cervical uterine erosion in practice is called radio excision.


The photo shows a device for biopsy analyzes of the cervix

What are the advantages of using radio wave technology?

The benefits of radio wave treatment include:

  • The speed of the operational action;
  • The absence of postoperative scars on the epithelial layer of the cervix of the uterine body;
  • The fastest healing process;
  • No bleeding (or small spotting);
  • The absence of post-procedural burns, as well as the possibility of infection;
  • The possibility of obtaining high quality histological comparative material when performing a biopsy examination.

By means of specialized equipment "Surgitron" excision of radio wave technology is performed. The mucous membrane of the internal cervical tissues is protected from damage and scarring. The procedure for the treatment of erosive disease is quite simple and almost painless. As with a biopsy, patients may experience some minor discomfort. Radio wave technologies make it possible to carry out all manipulation actions without affecting healthy, unaffected cells. After the transfer of radio wave biopsy tests or excision, normal gestation and delivery are ensured.

Not always a gynecologist, when prescribing a radio wave biopsy of the cervix, explains what it is and how the procedure is performed. A woman has to find information on her own, and this information is not always reliable.

So that the information received by the "word of mouth" method does not plunge you into panic and does not disorientate, we will analyze all the nuances of a biopsy by the radio wave method in great detail.

Why is this research needed?

A radio wave biopsy is a diagnostic procedure during which a piece of tissue is cut out from the pathological area (in our case, the cervix) using the Surgitron apparatus, which is subsequently examined under a microscope. This can be either a pathologically altered area, suspected of having cancerous or precancerous cells, or (in this case, the removed tissue will also be sent for histological examination).

The operation of the device is based on the impact of electric current. It, coming through the tip of the device to the tissues of the cervix, is converted into high-frequency radio waves, which instantly evaporate the connections between the selected cells, but do not heat up the living tissue.

Since there is no tissue heating, the intervention is painless and without scarring. At the same time, radio waves, without carrying any harmful radiation, have such excellent properties as sealing the vessels that fed the removed tissue areas, and antiseptic effect on the surgical field. That is, the biopsy is almost bloodless and without introducing additional infection to the cervix.

Thus, a radio wave biopsy of the cervix with the Surgitron apparatus is one of the best methods that allows you to quickly and painlessly obtain a biopsy from the area between the vagina and the uterus itself.

When is the procedure scheduled?

The indications for a radio wave biopsy are determined by the gynecologist during the procedure, which was done in a planned manner, or based on the result of the smear. A study is prescribed if, when examining the cervix with a colposcope, changes are detected that require histological examination.

It can be:

  • areas that did not stain with Lugol's solution during colposcopy;
  • atypical cervical vessels detected by ultrasound with dopplerography performed by a vaginal probe;
  • (changes in the structure and properties of the cells of the inner membrane lining the area between the vagina and the body of the uterus);
  • cervical polyps;
  • inflammation of the endocervix - the inner lining of the cervix;
  • warts are growths on the cervix caused by the human papillomavirus.

With erosion, a radio wave biopsy of the cervix is ​​​​assigned to women who have not yet given birth. The biopsy is examined under a microscope, which makes it possible to make the most accurate diagnosis: in 90% of cases it is still erosion, but in the remaining 10% there may be chronic inflammation of the cervix (endocervicitis), metaplasia or dysplasia of the epithelium (precancerous degeneration of cells of the inner membrane).

Advantages of the radio wave method

The removal of a site from the cervix can be performed in various ways: with a surgeon's scalpel, electric current, laser. Radio wave biopsy is a method that is free from the disadvantages of other methods.

Its merits are as follows:

  • Firstly, it does not burn cervical tissues: upon contact with current, radio waves are formed, and they, destroying the bonds between cells, form a low-temperature steam. Therefore, after this manipulation, there are no scars left - that is, you can subsequently give birth through natural routes and not worry that the scar tissue will prevent the child from passing through the birth canal.
  • Secondly, radio waves contribute to the sealing of vessels damaged during the removal of a piece of tissue. Therefore, if everything is in order with blood clotting, there will be no bleeding.
  • Thirdly, the technique (not circular) is painless: radio waves do not damage nerve receptors and do not contract the muscles of the cervix.
  • Fourthly, the emitted radio waves have antiseptic properties. Therefore, if the cervix was not infected at the time of the procedure, infection with other microorganisms will not occur during the biopsy.
  • Fifth, radio waves are safe for the fetus, so, if indicated, a biopsy can be performed during pregnancy. In order not to provoke a miscarriage, manipulation is performed only in the second half of pregnancy: if stimulation of the cervix causes labor, the child will be born viable. If the biopsy can be delayed until postpartum (unless cancer is involved), the procedure can be performed after the postpartum discharge has stopped.
  • Sixth, the radio wave method ensures rapid healing of tissues after the manipulation.
  • Seventh, high diagnostic accuracy, which is explained by the fact that tissues are not injured during the procedure.

Radio wave surgical apparatus "Surgitron

Training

In order for the sampling of cervical tissues, performed by a radioknife, to pass without complications, you must first be examined:

  1. Take a Pap test - a special swab from the vagina that will show the presence of precancerous or cancerous cells. It is needed to determine the volume of the forthcoming radio wave biopsy: if at least one of these cells is found (grade 3-4 according to Papanicolaou), not targeted, but, most likely, circular radio wave biopsy will be performed. In a grade 2 Pap test, when there is evidence of inflammation in the cervix, it must be treated before any biopsy is performed. Often (if there are signs that the inflammation is bacterial), for this it will also be necessary to take a smear for bacteriological culture from the vagina - so that you can decide which antibiotics are needed for treatment.
  2. Pass a smear for bacteriological and PCR studies for human papillomaviruses, herpes, myco- and ureaplasma, chlamydia from the cervical canal. The results must show that the contents are sterile, otherwise the procedure will have to be rescheduled. This is important, otherwise, a radio wave, like any other, biopsy can cause the infection to spread to neighboring areas and even to the entire cervix.
  3. Ultrasound of the reproductive organs and regional lymph nodes - to determine their condition, as well as the possible presence of metastases.
  4. A general blood test - to determine the level of inflammation, diagnose a decrease in hemoglobin or platelet levels. The latter situation requires correction before a radio wave biopsy is performed (low platelets - risk of bleeding).
  5. Coagulogram is a blood clotting test. If its indicators do not correspond to the norm, the manipulation is not carried out.
  6. Blood test for HIV and hepatitis.
  7. Colposcopy is a mandatory study, without which radio wave excision is not performed.

Immediately before the biopsy, you need to give up sex and douching for two days. Healing suppositories can only be administered if they have been prescribed by the gynecologist who will perform the biopsy.

Before manipulation, take a shower in the evening, and before going to the clinic, perform an intimate hygiene procedure.

If a circular biopsy is performed, or the psychological mood of the woman is such that general anesthesia, epidural or spinal anesthesia is planned, coarse, fiber-rich foods, alcoholic and carbonated drinks will need to be excluded for three days before the manipulation. Within 4 hours before the manipulation itself, you do not need to drink, and stop eating 6-8 hours before the manipulation.

How is the manipulation carried out?

Circular radio wave biopsy of the cervix

A radio wave biopsy is performed in the first 10-13 days of the menstrual period (that is, 10-13 days from the day when menstruation began) - when blood is no longer secreted from the vagina, but also the inner lining of the uterus and its cervix has not grown much.

A woman comes to the clinic, draws up the relevant documents, then she is given a place (ward or room) where she can change clothes and leave her things. After that, she is taken to the operating room and placed on a gynecological chair or, when performing manipulations under general anesthesia, on a couch. The same mirrors are inserted into the vagina, which are also used during examination, the cervix is ​​treated with a spray (less often, several injections are made) with lidocaine. Further, under the control of the colposcope, the biopsy itself is performed, which lasts several minutes and is not accompanied by severe pain. Seams are not applied.

A radio wave circular biopsy of the cervix may be performed. Then, with the help of an electrode that emits radio waves, not just the cervical area is cut out, where a formation was found that requires microscopic examination. This procedure involves cutting a circle in the center of which (or closer to the center) will be the cervical canal.

A circular radio wave biopsy is justified when the formation either occupies a significant area, or is located inside or not far from the cervical canal, and at the same time, with its jagged edges or uneven staining, signals danger. Therefore, the doctor must remove not only self-formation, but also healthy tissues around it, capturing at least 1/3 of the cervical canal.

Unlike targeted radio wave manipulation, circular manipulation is performed in a hospital, under general anesthesia or spinal anesthesia. Recovery after this procedure takes longer.

After a biopsy of the cervix, a piece of tissue is analyzed

Contraindications

Radio wave biopsy is not performed in the following cases:

  • installed pacemaker;
  • increased bleeding;
  • early pregnancy;
  • microbial inflammation of the cervix.

The period after manipulation: what can be the norm and what is a complication?

The normal consequences of a radio wave biopsy of the cervix are pain in the lower abdomen of a pulling nature that occurs in the first 2-3 days after manipulation, and bleeding resembling menstruation.

Bloody discharge after radio wave biopsy of the cervix is ​​normally observed up to 4 days. After that, the secreted mucus has a yellow color, and can be observed on the pad for about a week. After a circular biopsy, "menstruation" can last up to one and a half weeks, but they should be liquid bloody only for the first 5-7 days.

If blood is secreted for longer than 5 days, clots, scarlet blood or other discharge appear, if the general condition worsens, the temperature rises or the pain above the pubis becomes cramping, urgently visit the operating gynecologist.

After an outpatient (without a hospital) manipulation, a woman will either have to go to work immediately, or she will be given a disability certificate for 1-2 days. If a circular biopsy was performed using the Surgitron device, then the sick leave is opened for the entire time of stay in the hospital plus 3-4 days after it.

A second examination on the gynecological chair is performed 4-6 weeks after the procedure.

To minimize complications, certain conditions must be observed. This is an exception to lifting weights over 3 kg, visiting a sauna or pool, taking blood-thinning drugs for a month. You can not use tampons and douche until the discharge stops.

Sex life after a radio wave biopsy of the cervix, carried out in an excisional way, can be started after 2-3 weeks. If the radioknife has removed a circular area with cervical canal entrapment, sexual intercourse can be resumed after 6 weeks or later.

Healing after a radio wave biopsy depends on the method by which the manipulation was performed. So, if only a piece of tissue was taken (excisional biopsy), complete epithelialization (covering the wound with an upper layer - epithelium) occurs in 3 weeks. For a circular biopsy, this period is indicated as 4-6 weeks.

Carefully! Very many letters! Who cares how I got to such a life, you can poke. Or scroll down to Biopsy or even PROCESS.

(First review. Understand and forgive, if anything)) But it’s better to advise how it should be.)

Before going under the knife for surgery, I read a lot of reviews on the topic. The impressions of the girls are sooooo different. And most were operated on under painkillers. And this makes it very difficult to get reliable impressions, agree? So, for the sake of truth, I went through this without anesthesia!!! I hope my review will help you get an adequate idea of ​​​​the procedure.

background.

Actually, I went today for an execution called radio wave coagulation of cervical erosion. I tuned in that today everything, with it - with erosion (which, like a diagnosis, does not even exist) - connected will finally end. An was not there!

A smart plant, hell knows how many years it bloomed on my neck, only until March 2017, not a single gynecologist noticed it with me. Why? Was she hiding? And she decided to open up to the world in the person of a district gynecologist during pregnancy registration? Be that as it may, they called her tiny and decided not to touch her until the birth. Like, let it bloom - bloom, but suddenly it will resolve spontaneously. (Oh well)

At a postpartum checkup, my “rosebud” winked and blew kisses to the gynecologist. I missed you. Haven't seen each other for a year.

They took a smear for oncocytology. (Normal.) It was decided to get to know each other better through a colposcope.

And with the song "It's fun to walk together ..." I went to the colposcopy.

Colposcopy. In paint)) And spotlights.

It was scary, man! I read reviews about hellish pain during the examination, got drunk on painkillers ... And this is bye! The usual inspection on mirrors only with special effects))) With backlight (very warm, even too hot, just hot), through a “microscope” and with coloring. They puffed something, smeared something ... and my tiny little erosion bloomed in a lush color in those places where there was "naturally healthy epithelium" without special effects. “Shtosh, I will ask you a few intimate questions not out of idle curiosity, but for purely professional purposes,” said the head sticking out between my legs, “when did you start having sex? Just don’t lie, it’s in your own interest!” (Yes, yes, would you try to lie to a person who is poking around in your vagina during interrogation? This is worse than an oath of motivation!) At 17, I say. Auntie chuckles. It can be seen from his eyes that he does not believe a single word.

Have you changed sexual partners?

Umm... when? (I frantically remember the last time I changed it. A long time ago.)

- (And why do you need this information? Just the morality police!) In general, yes, I changed.

(Well, yes, everything is clear with me. Worked up, that means. And take everything out of me that you put in!)

Now I will explain. (And I'll listen. Fortunately, I'm no longer in a raskoryak and dressed.) / draws a circle, in the center a tilde (~) and a lattice over it (#). And three foci of erosion: 1 above the tilde and two below, like a triangle. / This is your erosion. Without testing for STDs (sexually transmitted diseases) and HPV (human papillomavirus), I can’t say anything more.

(I explained it, I explained it that way! Everything became clear.) Immediately I drag myself with a leaflet to the gynecologist for, I hope, more intelligible comments.

Well, it turns out that the “pink bud” is not a bud, but a full-fledged flower “in the juice itself”, which has been blooming for a long time and is not going to fade. And it is necessary to get acquainted with the closest relatives, since we have such long-term relationships - to identify HPV of oncogenic types. (The most advanced analysis for the detection of HPV of all varieties and colors)

Familiar (painfully) gynecological office. There are sooo many lines as a result of the analysis. And not a single “closest relative” has been identified. During pregnancy, I passed all kinds of tests for STDs, and for other infections, and for the flora - there are no “saboteurs” in my body and there never were. I don't even know what a thrush is. In a word, I am almost sterile! Erosion is here. Gynecology just shrugged, suggesting the so-called. "true erosion". This is when a mechanical injury becomes inflamed. Only this is not a diagnosis, but guesses ... There is nothing to do, it is necessary to treat. (It is not known what, really. But we will treat it!) They took a smear, sent me to donate blood.

And after a second colposcopy, follow the dynamics of improvements.

Treatment?

Panavir intimate spray 2p/day, 2 puffs. In the evening, an hour later Metromicon neo 1 candle 1 r / day x 14 days. After Genferon - 10 days.

Well, I think cool! But I read that ... or rather, WHAT they treat with Metromicon:

Vaginal candidiasis;

Trichomonas vaginitis and vulvovaginitis;

bacterial vaginosis;

Mixed vaginal infection.

Not that I would somehow be biased towards infections of the genital area and their treatment ... I'm just for expediency. I don't have any of the above. Curtain. But who am I (an architect) to argue with a specialist? I got cured.

And again the same familiar office ... And, like snow on the head, the statement of the gynecologist:

Plans change, we burn it right away!

(Stop! And why do I need all these candles ..?) Yes, yes, sanitation. (But you could say right away...)

Let's do a biopsy at the same time. (Great, I think, I'm tormented in one go!)

Moxibustion. Biopsy. Training.

For the procedure you need:

Total bikini (you can just shave);

Socks));

Pad;

Corvalol.

Copies of the passport, honey. policy, pension.

The last dinner (this item is optional)))) I had. Dinner. Not last. Hope.)

Today I came to the appointed office at 15:00, sat under the door, sip some coffee, chatter with my teeth...

They called. The paperwork, the signature under the consent to the intervention, the preparation of the apparatus, the toilet, the attempt to escape delayed the moment for 20 minutes. In the process, it turned out that it was not a fact that cauterization would take place. It will depend on the "scale of the disaster." Eee... And the doctor told me that cauterization.... (Again circled around the finger) At 15:22 I stood in front of the door to the "operating room", stripped to the waist. Bottom. (You never know who presented what.) At 15:38 I already left the consultation and went outside.

That is, 16 minutes. Five of which I wore socks))). I climbed onto the chair for two minutes, three minutes (and three battings) were spent pushing the mirrors in, processing the “material” with a disinfectant, a reagent (They said it would pinch. It didn’t pinch) and again with a disinfectant. The reagent, apparently, did not like erosion. The surgeon said, “Oh, how white she turned!” Here I was disassembled by interest, but is the “hero of the occasion” great? Which I didn't hesitate to ask. Great, he says. All over the neck. (To the whole neck, Karl! My tiny little erosion! My three dots are a triangle! I’m embarrassed to ask what did you look at before?) And the neck, for a second, is about 4.5 by 3.5 cm. So, I ask, we’ll cauterize ? We won't, we'll take three fragments for a biopsy. It will show you what to do. Don't conize. But you still have to give birth ... We spent another 4 minutes talking.

And, in fact, himself PROCESS.

I am lying on an ordinary gynecological examination chair, under my back is a plate - an electrode in a case. (Cold) To my left, at waist level, is an assistant, ready to hold me to help the surgeon in her difficult task. Where it is necessary - a surgeon and a dilator (there is also a rubber tube - an extract). There is no colposcope anywhere. (How does she see anything there at all? Or do I not see it?) The manipulator of the coagulator (ultrasonic knife) looks like a pencil with a two-pronged fork (in Y format) instead of a stylus. The surgeon inserts it into the vagina and warns, "now it will be unpleasant, most importantly, do not twitch." I expect unthinkable pain and also warn. “Yes, I am flint! But I’m afraid of pain and I’ll scream.” No, I didn't scream. And she didn't flinch. I listened to feelings. It's tolerable. For those who gave birth to an analogue of sensations, it is like a contraction of average intensity. This is not one of the first, but about 2 centimeters somewhere. It just doesn't feel as harsh. It's kind of dumb. Like sound through water. For those who have not given birth, you must have kicked something with your little finger at least once. That's very similar. If not very strongly and did not cut the skin at the same time. And, again, not so obvious. This is not a sharp pain, but dull on the verge of acute. Only the little finger hurts pulsatingly, with influxes, and here this “influx” is one. It starts with a feeling of warmth and tingling, then warmer, warmer and turns into a simultaneously squeezing, bursting and tingling wave, spreading in a cone from the place of application of pain up and deep into the uterus. In the case of a finger, along the foot. The farther from the top of the cone, the weaker it feels. If we imagine the intensity of pain in color, where red is intense pain, and yellow is not pain, then the top of the cone is red, the base is yellow, and between them there is a stretch from red through orange to yellow. This imaginary cone is 7 centimeters high according to sensations. And all this is not felt by the foot, but by the very depths of the “soul”. The top of the cone is approximately in the middle of an imaginary line between the coccyx and the navel. The base looks at the kidneys. And 10 centimeters in diameter. Lasts 3 seconds, well, maybe 5, it seems, of course, longer. (It's like standing in a queue. Unpleasant seconds seem like minutes.) Even a bruised finger hurts for 15 seconds. And here it's only 3. It lets go exactly at the moment when the impact stops. Another analogy, however, is not the level of pain, but its nature: you squeeze, squeeze, squeeze, say, a hand in the wrist, increasing the grip force (just don’t overdo it, you never know, you have sooo strong fingers), and then abruptly release. This is such a growing dull pain, only more than you can squeeze your hand. Once again, this is not acute pain. Quite tolerable. If you relax, do not twitch and do not pinch, it is quite possible to calmly survive. It is reasonable to note that after that it’s easy for me to speak ... Only I didn’t panic at the time, didn’t tense up, but calmly waited for the hellish pain and did NOT wait. I read reviews about radio wave coagulation. And they were so different in terms of stories about sensations that for the sake of the purity of the experiment I didn’t even drink painkillers)) To know for sure what the sensations were. And I do not like to feel pain from the word at all. But, for the sake of feedback on the procedure, I decided to try everything live. If you go with anesthesia, I don’t know how you will feel exactly, but it will certainly be easier than for me)))

And, to consolidate, (repetition, motherfucking, teaching))), you need to relax. It's more than bearable. Piercing your finger while donating blood hurts more. It's just a little more here. But not as exhausting as contractions))) And not even as much as a finger. Accept that you will be hurt and you WILL have to endure it. Well, in fact, why flutter, since it is inevitable? Yes, it's scary because you don't know. I have tried my best to describe it for you. So that you know what you're getting into. Wait for the pain relaxed and then be surprised that it was almost gone)))

Auntie assistant diligently blocked the picture of the crime with her body, but I managed to see this supposedly tiny piece of flesh - a tissue sample for a biopsy. It was a little more than a penny! And three times thicker than a plate of skin burned in the sun. I mean, it's a real loss! (Pinch off a little, huh.) There is, of course, the possibility that they deceived me here too, cut off the erosion, and said that it was a simple biopsy. After everything I've been told before (for good, yes), I wouldn't be surprised at all. Meanwhile, I once again felt how I kicked the corner of the chest of drawers with my cervix ... I didn’t see the second piece, but, judging by the slightly longer manipulation, the fragment was larger.

Maybe we won't cut off the third piece? - I ask.

We'll figure this out on our own, without you. Uh, it bled. The vessel was hit. - no longer paying attention to my protests, the surgeon, communicating with the assistant, treated the affected area with something. I don't remember exactly what. Probably something soaked in cotton wool. It didn't feel like it.

The third approach to my manipulator vagina was justified by "soldering" the bleeding vessel. The tip was changed from a "fork" to a ball the size of a pinhead. And again, I felt almost nothing.

OK it's all over Now. left to process. (She stuffs another cotton wool, takes it out, examines it) And we'll take the third piece after the results of the biopsy, if necessary. (Pulls out dilator)

All manipulations with the "cauterizer", boltology and processing took another 3-4 minutes.

The assistant asks if everything is all right with me, is my head spinning, am I going to faint? For the sake of order, he is interested, it is clear that I am not going to. He asks if I can get up. Naturally, I can! Instructs, lower your legs first, and I'm already standing on the floor. In socks. He offers to help me get there, and I have already teleported to my things. And in general, everything is fine with me exactly from the moment the expander was removed from me.

The surgeon gives c. y. before menstruation:

Do not stick foreign objects into the affected area: tampons, douches, penis;

Do not take a bath inside, only shower in earnest;

Do not lift weights more than 5 kg (a nine-kilogram child does not apply to weights and I am not entitled to sick leave);

To the gynecologist in 3 weeks, regardless of the cycle. Find out the results of the biopsy, get the following c. y. and the scheme of further treatment, and find out for sure whether a biopsy was performed or all erosion was removed.

Feel after.

Eight hours after the pieces of epithelium were cut out of me, I do not feel (and did not feel) any pain, discomfort or malaise.

After 3 hours, a droplet of potassium permanganate-colored liquid leaked out of me.

And that's all for now.

With a sense of accomplishment, I set off bayushki. Time something later.

I hope my experience will save at least one nerve cell of at least one innocent girl doomed to be biopsied with an electromagnetic knife.

I will definitely write what happened (and for me now, what will be) farther. I'm waiting and worried.

Another 8 hours later.

I found on the daily pad a miniature puddle of transparent yellowish mucus with dark inclusions - grains in the color of old potassium permanganate. Photos are not for squeamish readers (sorry if you are disgusted). But I would be interested. Therefore, I post it for my own kind)))

Second day

The morning greeted me with a small puddle of a soft ocher shade on the daily. Already without grains, but with a barely perceptible smell of tan. After changing the pad (daily), the puddles appeared again, but without any foreign smell. The amount of these secretions did not exceed a teaspoon in half a day. By evening, there were pulling sensations in the lower abdomen. More than tolerable. Even the ignored ones.

The faint of heart, please refrain from opening

Third day

When I woke up, I realized that today I won’t be able to jump. A heavy ball "settled" in the lower abdomen, which, as if rolling, intensely pressed first to the left, then to the right, then in the center and tingled from time to time. Sometimes a shooting sensation was added to the bursting sensation. (Probably, when the wound surface of the neck, as a result of an awkward movement, came into contact with the walls of the vagina.) By lunchtime, this chaos was over. Further, it only sank and occasionally a pulsating bursting was felt. This is also tolerable and causes discomfort, nothing more.

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