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Ynt: Cervical erosion From: =?iso-8859-9?Q?Dr._Bülent_Potur?= (bpotur@rt.net.tr) Fri Apr 21 09:55:08 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Joe Cutchin: "Re: OB: Vacuum versus Forceps in Premies" Previous message: Braun, R. Daniel: "Re: Asymptomatic bacteriuria" Well, yes. Especially if the if the erosed area is larger than 1.5 cm, has a uniform appearance, if the patient, because of fobia desires not to have her sore burned but rather frozen, then I sometimes use cryo. The standard of care around here is electrocautery. It is especially usefull in cases with chronic cervicitis with multiple Naboth cysts, in cases with irregular borders requiring lacework like cautery such as mild cervical tears not necessitating tracheloraphy, This kind of therapy is necessary because chronic cases harbor infection and are recalcitrant to coventional anti-infective therapy. When you obtain a sound ectocervical squamous epithelium it is healthy and resistant to chronic infection and inflammation. The usual case comes with the complaint of recurrent discharge resistant to drug therapy. Sometimes with post-coital spotting. On examination if there is a bout of infection first it is controlled. Then at a control exam a smear is obtained. If there are suspicious areas after acetic and lugol's applications some punch biopsies may also be obtained. If the smear and (the biopsies) are benign (usually they are class 2 and chronic cervicitis) the area is electro-cauterized almost always in the period following the cessation of menses . Concerning the cryo, after following the above procedure I use the technique of 3 minutes freeze and then thaw and repeat twice. Dr. Bülent Potur http://abone.rt.net.tr/bpotur >----- Original Message ----- From: Paul Prior MD <pprior@earthlink.net> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@forum.obgyn.net> Sent: Friday, April 21, 2000 4:12 AM Subject: Re: Cervical erosion > On Thu, 20 Apr 2000 20:01:41 -0500, Zach Newton > <zbnewton@mindspring.com> wrote: > > > > >Typically for a thread, there has been tangential migration that has > >driven off in a cloud of alkali dust from the original topic. > > I am in part to blame for that migration, but have not heard reply to > my original branch question - is anyone still using cryo for > ectropion? People seemed to want to defend its use for dysplasia > (which I dislike as listed) but that was not my question. > > -- > Paul Prior MD Get rebates on online purchases - up to 25% cash back. > Ashland, KY USA Including Disney,Borders,DVDexpress,800.com,Dell, petstore > Using Spamkiller iBaby, etoys, JCrew,800-flowers,PlanetRX,Avon & many more. > so spam away... try: http://www.ebates.com/index.jhtml?referrer=pprior Next message: Joe Cutchin: "Re: OB: Vacuum versus Forceps in Premies" Previous message: Braun, R. Daniel: "Re: Asymptomatic bacteriuria"

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