Cautery of cervix; electro or thermal
CPT4 code
Name of the Procedure:
Cautery of Cervix
Common names: Cervical cauterization, Electrocautery of cervix, Thermal cauterization of cervix.
Summary
Cervical cautery is a medical procedure that uses electric current or heat to remove or destroy abnormal tissue on the cervix.
Purpose
Cervical cauterization is performed to treat abnormal tissue growth, such as cervical dysplasia, chronic cervicitis, or to stop bleeding. The procedure helps to prevent the progression of pre-cancerous cells to cervical cancer and addresses persistent symptoms caused by inflammation or infection.
Indications
- Abnormal Pap smear results showing pre-cancerous cells
- Persistent vaginal bleeding due to cervicitis
- Chronic inflammation or infection of the cervix
- Erosion of the cervical lining
Preparation
- Patients may be instructed to avoid eating or drinking for a few hours before the procedure.
- Avoid sexual intercourse, use of tampons, or douching for 24-48 hours prior.
- A complete medical history and pelvic examination will be performed.
- A pregnancy test may be required to ensure the patient is not pregnant.
Procedure Description
- The patient is positioned on an examination table with feet in stirrups.
- A speculum is inserted into the vagina to allow access to the cervix.
- Local anesthesia may be administered to numb the area.
- The cervix is treated with an electric current (electrocautery) or heat (thermal cautery) to destroy abnormal tissue.
- The procedure typically takes about 10-20 minutes to complete.
Duration
The procedure usually takes about 10-20 minutes.
Setting
Cervical cautery is typically performed in an outpatient clinic or a surgical center.
Personnel
- A gynecologist or trained healthcare provider performs the procedure.
- A nurse or medical assistant may be present to assist.
Risks and Complications
- Mild to moderate pain or discomfort during and after the procedure.
- Light vaginal bleeding or discharge for a few days.
- Infection at the site of cauterization.
- Scarring that may affect future cervical screening.
Benefits
- Removal of abnormal tissue reduces the risk of cervical cancer.
- Resolution of chronic cervicitis symptoms such as abnormal bleeding.
- Quick procedure with minimal recovery time.
Recovery
- Patients may experience mild pain or cramping for a few days.
- Avoid sexual intercourse, tampons, and douching for 2-4 weeks or as advised by the physician.
- Follow-up appointments are necessary to ensure proper healing and to monitor for recurrence of symptoms.
Alternatives
- Cryotherapy (freezing of abnormal tissue)
- Laser ablation
- Loop Electrosurgical Excision Procedure (LEEP)
- Watchful waiting with regular monitoring
Each alternative has its own set of benefits and risks, which should be discussed with the healthcare provider.
Patient Experience
During the procedure, patients might feel mild to moderate discomfort or cramping. Post-procedure, there may be some vaginal discharge and light bleeding that should resolve within a few days. Pain can usually be managed with over-the-counter pain medications and rest.