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Conization is a procedure that involves removing a small, cone-shaped portion of the cervix containing abnormal cells.
It is most often performed following an abnormal Pap smear or the discovery of precancerous lesions (dysplasia), both to treat them and to analyze them.
At the Centre Chirurgical de Champel in Geneva, conization is performed by experienced gynecologists, on an outpatient basis, in safe and comfortable conditions.
When is conization performed?
- Precancerous cervical lesions (high-grade dysplasia)
- Abnormal Pap smear and/or cervical biopsy
- Persistent cervical abnormality requiring full analysis
Conization is indicated to treat and analyze precancerous cervical lesions.
Before the procedure
Pre-procedure assessment:
- 01 Pap smear, HPV test, and colposcopy with prior biopsies
- 02 Review of current medications, especially anticoagulants
- 03 Anesthesia consultation and consent collection
Procedure steps
Duration: approximately 15 to 30 minutes. Anesthesia: local, regional (spinal), or general, depending on the technique and case. The choice is decided with the anesthesiologist.
Main steps:
- 01 Positioning in the gynecological position
- 02 Identification of the abnormal area of the cervix
- 03 Removal of the cone-shaped portion of the cervix (usually with an electric loop or scalpel)
- 04 Coagulation to control bleeding
- 05 Complete analysis of the removed fragment
The procedure is performed via the natural route, on an outpatient basis.
After the procedure
Usual recovery
- Bleeding and discharge for 2 to 3 weeks
- Moderate pelvic cramps
- Resumption of activities in a few days
Recommendations
- Avoid baths, tampons, intercourse, and strenuous activity for the indicated period (usually 3 to 4 weeks)
- Consult a doctor in case of heavy bleeding, fever, or foul-smelling discharge
Expected outcome: the lesions are removed, and the complete analysis confirms that the entire abnormal area has been excised.
Follow-up
Regular cervical monitoring (follow-up Pap smears) is established to ensure there is no recurrence.
Abnormal Pap smear to manage?
Our gynecologists review your colposcopy results during a consultation in Geneva and explain whether conization is indicated.
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