Document Detail


Urinary catheter stent placement for treatment of cervical stenosis.
MedLine Citation:
PMID:  17877600     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Cervical stenosis is an uncommon condition that may result in significant distress in premenopausal women. Those affected may present with amenorrhoea and associated cyclical, monthly pain, infertility and haematotrachelos/haematometra. AIM: To describe a safe, easy and effective treatment method for cervical stenosis. Methods: The cervical canal is identified and dilated under ultrasound guidance. A urinary catheter stent is then placed in the cervical canal for two weeks. RESULTS: Of the five patients who underwent treatment for cervical stenosis, all had normal menstrual cycles restored. Four of these patients successfully became pregnant after treatment. Three of the four patients progressed to uncomplicated births at term (gestation). The fourth patient underwent a termination of pregnancy in the second trimester for a fetal abnormality. CONCLUSIONS: Cervical dilatation under ultrasound guidance with temporary urinary catheter stent placement appears to be both effective and safe in the treatment of cervical stenosis. Pregnancy outcomes after treatment were optimal in our case series.
Authors:
Yasmin Tan; Michael J Bennett
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Australian & New Zealand journal of obstetrics & gynaecology     Volume:  47     ISSN:  0004-8666     ISO Abbreviation:  Aust N Z J Obstet Gynaecol     Publication Date:  2007 Oct 
Date Detail:
Created Date:  2007-09-19     Completed Date:  2008-01-17     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0001027     Medline TA:  Aust N Z J Obstet Gynaecol     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  406-9     Citation Subset:  IM    
Affiliation:
Royal Hospital for Women, Sydney, and University of New South Wales, Sydney, New South Wales, Australia.
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MeSH Terms
Descriptor/Qualifier:
Adult
Cervix Uteri / pathology*,  surgery*
Constriction, Pathologic / therapy
Dilatation
Female
Gynatresia / therapy
Humans
Stents*
Urinary Catheterization*
Uterine Cervical Diseases / therapy*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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