Conization Procedure

What is Conization Procedure? – Patient Information Guide

What is Conization?

Conization is a surgical procedure in which a cone-shaped piece of tissue is removed from the cervix. It is performed for both diagnostic and therapeutic purposes.

What is it Performed For?

• CIN 2-3 (high-grade lesions)
• HSIL smear results
• Suspicious colposcopy findings
• Precancerous or early cancer suspicion

How is it Performed?

• Performed vaginally
• Can be performed under general or local anesthesia
• Cone-shaped tissue is removed from the cervix
• The procedure usually takes 15–30 minutes

What is the Difference from LEEP?

• Deeper and wider tissue is removed
• Has higher diagnostic value
• Preferred especially in suspicious cases

Advantages

• Provides both diagnosis and treatment
• Prevents cancer development
• Allows for definitive pathological evaluation

After the Procedure

• Mild bleeding and discharge may occur
• 2–4 weeks recovery period
• Quick return to daily life

Precautions

• Sexual intercourse is not recommended for 3–4 weeks
• Vaginal tampons should not be used
• Strenuous exercise should be avoided

Possible Risks

• Bleeding
• Infection
• Cervical narrowing
• Rarely, cervical insufficiency

Effect on Pregnancy

In patients who undergo extensive conization, the risk of preterm birth may slightly increase. Therefore, careful evaluation is performed in patients planning pregnancy.

Clinical Fact

Conization is a safe and effective treatment method, especially for high-risk lesions.

Conclusion

The conization procedure is an important surgical method that allows for the removal of abnormal tissues in the cervix and prevents the development of cancer.