| A new approach to preserve fertility by using a coated nitinol stent in a patient with recurrent cervical stenosis. | |
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MedLine Citation:
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PMID: 17196591 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: 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. |
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Authors:
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Dorothee Grund; Christhardt Köhler; Holger Krauel; Achim Schneider |
Publication Detail:
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Type: Case Reports; Journal Article Date: 2006-12-28 |
Journal Detail:
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Title: Fertility and sterility Volume: 87 ISSN: 1556-5653 ISO Abbreviation: Fertil. Steril. Publication Date: 2007 May |
Date Detail:
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Created Date: 2007-05-04 Completed Date: 2007-05-28 Revised Date: 2007-09-25 |
Medline Journal Info:
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Nlm Unique ID: 0372772 Medline TA: Fertil Steril Country: United States |
Other Details:
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Languages: eng Pagination: 1212.e13-6 Citation Subset: IM |
Affiliation:
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Department of Gynecology, Charité-Universitätsmedizin Berlin, Berlin, Germany. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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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 |
| Chemical | |
Reg. No./Substance:
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0/Alloys; 52013-44-2/nitinol |
| Comments/Corrections | |
Comment In:
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Fertil Steril. 2007 Sep;88(3):763-4; author reply 764
[PMID:
17681332
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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