Cone biopsy instructions
How the Test is Performed
This is a surgical procedure. It is done in the hospital while you are either sedated through an IV or under general anesthesia.
You will lie on a table and place your feet in stirrups to position your pelvis for examination. The doctor will insert an instrument (speculum) into your vagina to open the vaginal walls and examine the cervix.
A small cone-shaped sample of tissue is removed from the cervix and examined under a microscope for any signs of cancer. This biopsy may also be the treatment if the doctor removes all of the diseased tissue.
How to Prepare for the Test
As with any procedure that is done under anesthesia, you will probably need to fast for 6 - 8 hours. You must sign an informed consent form. The procedure is done on the same day (outpatient) and a hospital stay is usually not needed.
How the Test Will Feel
After the procedure, you may have some cramping or discomfort for a week or so. For about 4 - 6 weeks avoid:
- Douching (you should never do this in any case)
- Sexual intercourse
- Using tampons
For 2 - 3 weeks after the procedure, you may have discharge that is:
- Bleeding (most commonly occurs about 10 days out from procedure)
- Incompetent cervix (which may lead to premature delivery)
- Scarring of the cervix (which may cause painful menstrual periods, make it more difficult for doctors to read an abnormal Pap smear, increase the chance for premature delivery, and make it harder to become pregnant)
There are no precancerous or cancerous cells in the cervix.
What Abnormal Results Mean
Most often, abnormal results mean that there is an area of precancerous or cancerous cells.
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