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Cervical canal widening can be temporarily achieved by the insertion of dilators into the cervix. If the stenosis is caused by scar tissue, a laser treatment can be used to vaporize the scarring. [5] Finally, the surgical enlargement of the cervical canal can be performed by hysteroscopic shaving of the cervical tissue. [6]
Asherman's syndrome (AS) is an acquired uterine condition that occurs when scar tissue forms inside the uterus and/or the cervix. [1] It is characterized by variable scarring inside the uterine cavity, where in many cases the front and back walls of the uterus stick to one another.
Vaginal stenosis is an abnormal condition in which the vagina becomes narrower and shorter due to the formation of fibrous tissue. [1] [2] Vaginal stenosis can contribute to sexual dysfunction, dyspareunia and make pelvic exams difficult and painful. [1] The lining of the vagina may also be thinner and drier and contain scar tissue.
Other causes are acquired, such as cervical stenosis, intrauterine adhesions, endometrial cancer, and cervical cancer. [ 3 ] Additionally, hematometra may develop as a complication of uterine or cervical surgery such as endometrial ablation , where scar tissue in the endometrium can "wall off" sections of endometrial glands and stroma causing ...
Hegar dilators are used to induce cervical dilation in order to gain entry to the interior of the uterus. During the process of dilation, the cervix may have to be stabilized with a tenaculum , and then the dilators are slowly entered into the cervical canal with a lubricant, starting with a thin, low Hegar number rod and progressing gradually ...
A sign of cervical weakness is funneling at the internal orifice of the uterus, which is a dilation of the cervical canal at this location. [3] In cases of cervical weakness, dilation and effacement of the cervix may occur without pain or uterine contractions. In a normal pregnancy, dilation and effacement occurs in response to uterine ...
Endocervical curettage is a medical procedure used to extract cells of the endocervix to visualize under a microscope. Direct cervical visualization, colposcopy, and even endocervical colposcopy are not enough to fully analyze all areas of the endocervical epithelium and thus endocervical curettage is the method of choice in cases where this is necessary.
Usually the treatment is done in the first or second trimester of pregnancy, for a woman who has had one or more late miscarriages in the past. [2] The word "cerclage" means encircling, hooping or banding in French. [3] The success rate for cervical cerclage is approximately 80–90% for elective cerclages, and 40–60% for emergency cerclages.
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