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A new approach to preserve fertility by using a coated nitinol stent in a patient with recurrent cervical stenosis.

AbstractOBJECTIVE:
The incidence of hematometra caused by cervical stenosis after conization is <1%. Nevertheless, if dilatation was unsuccessful, further therapy often remains unclear, and the clinical consequences can be severe, including hysterectomy.
DESIGN:
Case report.
SETTING:
University hospital.
PATIENT(S):
A 33-year old patient who developed recurrent cervical stenosis with consecutive hematometra after two conizations during lactation amenorrhea that could not be treated by dilatation and insertion of a temporary plastic catheter according to the manufacturer's instructions.
INTERVENTION(S):
Insertion of a coated nitinol stent in the cervical canal after dilatation and hysteroscopic removal of the hematometra.
MAIN OUTCOME MEASURE(S):
Normal menstruation, future pregnancy.
RESULT(S):
The patient was free of symptoms, had a normal menstruation, and has become pregnant.
CONCLUSION(S):
The insertion of a coated vessel stent in the uterine cervix appears to be a valid alternative in patients with recurrent cervical stenosis and hematometra after conization to preserve childbearing function.
AuthorsDorothee Grund, Christhardt Köhler, Holger Krauel, Achim Schneider
JournalFertility and sterility (Fertil Steril) Vol. 87 Issue 5 Pg. 1212.e13-6 (May 2007) ISSN: 1556-5653 [Electronic] United States
PMID17196591 (Publication Type: Case Reports, Journal Article)
Chemical References
  • Alloys
  • nitinol
Topics
  • Adult
  • Alloys (administration & dosage)
  • Cervix Uteri (drug effects, pathology)
  • Constriction, Pathologic (drug therapy, pathology)
  • Female
  • Fertility (drug effects)
  • Hematometra (drug therapy, pathology)
  • Humans
  • Infertility, Female (prevention & control)
  • Recurrence
  • Stents
  • Uterine Cervical Diseases (drug therapy, pathology)

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