Cone biopsy
What is a Cone Biopsy?
A cone biopsy is a surgical procedure used to remove a section of an abnormal area on the cervix. This procedure is used to diagnose and treat precancerous changes that may be present on the cervix. It is also sometimes used as a treatment for early stage cervical cancer. The procedure is done under local or general anesthesia and typically takes between 15 and 30 minutes.
Preparing for a Cone Biopsy
Before the cone biopsy procedure is performed, you may have to undergo certain tests and examinations to determine if the procedure is suitable for you. This includes having a pelvic exam, Pap smear, imaging tests, and a pelvic ultrasound. During these tests, your doctor will be able to identify the exact location of the abnormal area on the cervix.
It is important to discuss the procedure with your doctor before it is performed and ask any questions you may have. You may also have to sign a surgical consent form prior to the surgery. Your doctor will provide specific instructions on how to prepare for the procedure.
Procedure
The cone biopsy procedure involves making an incision near the abnormal area of the cervix. A cone-shaped piece of tissue is then removed. The procedure is typically performed under local anesthesia.
- Your doctor will insert a device called a speculum to widen your vaginal walls.
- Then a local anesthetic is administered to numb the area.
- Your doctor will then use a scalpel or laser to make an incision near the abnormal area of the cervix.
- A cone-shaped piece of tissue is then removed and sent for further examination.
- The incision is then closed with stitches, and a dressing is applied on the incision site.
- The procedure typically takes between 15 and 30 minutes.
Types of Cone Biopsies
There are two types of cone biopsies. The first is a cold-knife cone biopsy, which is done with a scalpel. The second is a laser-assisted cone biopsy, which is done with a laser instead of a scalpel.
Risks and Complications
As with any other procedure, there are certain risks and complications associated with a cone biopsy. These include excessive bleeding, infection, scarring, and reactions to anesthesia.
There is also a risk of damaging the cervix or bladder. In some cases, the cervix may need to be reconstructed to function properly. If the surgery is extensive, there is also a risk of damaging other parts of the reproductive system, including the uterus and ovaries.
Why Have a Cone Biopsy?
A cone biopsy can be used to diagnose and treat a variety of conditions in the cervix. This includes cervical cancer, precancerous changes, and other abnormalities in the cervix. It can also be used to evaluate abnormal Pap smear results.
When to Have a Cone Biopsy
A cone biopsy may be recommended if you have an abnormal Pap smear, pelvic exam, or imaging test results. Your doctor may also recommend the procedure if they have identified any precancerous changes in the cervix. The procedure may also be recommended as a treatment for cervical cancer.