CERVIX, BIOPSY OF

General Information

DEFINITION--Removal of tissue from the cervix, the lower third of the uterus.

BODY PARTS INVOLVED--Cervix; vagina (as route for surgery).

REASONS FOR SURGERY--Investigation of diseases of the cervix. Laboratory examination of the removed tissue aids in diagnosis.

SURGICAL RISK INCREASES WITH

• Previous bleeding disorders.
• Use of drugs such as anticoagulants or aspirin.

What To Expect

WHO OPERATES--Obstetrician-gynecologist, family doctor or general surgeon.

WHERE PERFORMED--Doctor's office or outpatient surgical facility.

DIAGNOSTIC TESTS

• Before surgery: Pap smear (See Glossary); pelvic exam; blood and urine tests.
• During surgery: Your doctor may stain the cervix before removing any sample tissue. Areas that do not hold the stain are the most important ones to examine. The staining is harmless and painless.
• After surgery: Laboratory examination of removed tissue.

ANESTHESIA--Local anesthesia by injection.

DESCRIPTION OF OPERATION

• A speculum is inserted into the vagina to hold it open and to bring the cervix into view.
• A second instrument is used to gather the tissue.
• The instruments are removed.

POSSIBLE COMPLICATIONS--Excessive bleeding or surgical-wound infection.

AVERAGE HOSPITAL STAY--Usually none.

PROBABLE OUTCOME--Tissue obtained successfully without complications in virtually all cases. Allow several days for recovery from surgery.

Postoperative Care

† Wear cotton panties or pantyhose with a cotton crotch. Avoid panties made from nylon, polyester, silk or other non--

ventilating materials.

• Use a sanitary pad to protect your clothing. Avoid tampons--they may lead to infection. > Bathe and shower as usual. Use non-perfumed soap. > Don't douche unless your doctor recommends it.

† You may use non--prescription drugs, such as acetaminophen, for minor pain.

ACTIVITY

• Resume driving 24 hours after recovering from surgery.
• Resume sexual relations in 1 week after surgery, if you wish.

DIET---No special diet.

Call Your Doctor If

† You develop signs of infection: headache, muscle aches, dizziness or a general ill feeling and fever.

• Vaginal discharge increases or begins to have an unpleasant odor.
• You experience discomfort that simple pain medication does not relieve quickly.
• Unusual vaginal swelling or bleeding develops.