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Cold Knife Conization

Conveniently located to serve Los Angeles, Van Nuys, Burbank, Huntington Park, San Fernando and Northridge

A cold knife cone biopsy (conization) is surgery to remove a sample of abnormal tissue from the cervix. The cervix is the lower part of the uterus (womb) that opens at the top of the vagina. Abnormal changes in the cells on the surface of the cervix is called cervical dysplasia.

How the Test is Performed

This procedure is done in the hospital. You will be placed under general anestheisa (asleep and pain-free), or you will be given medicines to help you relax and feel sleepy.

You will lie on a table and place your feet in stirrups to position your pelvis for examination. The doctor will place an instrument (speculum) into your vagina to better see the cervix.

A small cone-shaped sample of tissue is removed from the cervix . It is examined under a microscope for signs of cancer. This biopsy may also be a treatment if the doctor removes all of the diseased tissue.

How to Prepare for the Test

As with any procedure that is done under anesthesia, you will probably need to fast for 6 – 8 hours. You must sign an informed consent form. The procedure is done on the same day (outpatient) and a hospital stay is usually not needed.

How the Test Will Feel

After the procedure, you may have some cramping or discomfort for a week or so. For about 4 – 6 weeks avoid:

  • Douching (you should never do this in any case)
  • Sexual intercourse
  • Using tampons

For 2 – 3 weeks after the procedure, you may have discharge that is:

  • Bloody
  • Heavy
  • Yellow-colored

Why the Test is Performed

Cold knife cone biopsy is done to detect cervical cancer or early changes that lead to cancer. A cold knife biopsy is done if a test called colposcopy cannot find the cause of an abnormal Pap smear.

Cold knife cone biopsy may also be used to treat:

Moderate to severe types of abnormal cell changes (called CIN II or CIN III)

Very early stage cervical cancer (stage 0 or IA1)

Normal Results

A normal result means there are no precancerous or cancerous cells in the cervix.

What Abnormal Results Mean

Most often, abnormal results mean that there are precancerous or cancerous cells in the cervix. These changes are called cervical intraepithelial neoplasia (CIN). The changes are divided into three groups:

  • CIN I — mild dysplasia
  • CIN II — moderate to marked dysplasia
  • CIN III — severe dysplasia to carcinoma in situ

Abnormal results may also be due to cervical cancer.

Risks

Risks of cold knife cone biopsy include:

  • Bleeding
  • Incompetent cervix (which may lead to premature delivery)
  • Infection
  • Scarring of the cervix (which may cause painful periods, premature delivery, and difficulty getting pregnant)

Cold knife cone biopsy may also make it difficult for your health care provider to interpret abnormal Pap smear results.

Alternative Names

one biopsy; Biopsy – cone; Cervical conization

Your Cold Knife Conization will be performed in one of HER Smart Choice’s three locations: Los Angeles, Van Nuys, and Huntington Park.

Fast and easy, straight forward explanations, first time in this situation and it has been a overall well and safe comfortable expreience.

My procedure went smooth. The doctors and nurses are very attentive and caring here. They have flexibility appointment schedule. The office is well-sanitized as well. Great overall experience!

This clinic is very professional. All the staff members are really nice and explain everything to you. All the info you need they have it just ask!

Service was amazing. Cindy and all of the staff were amazing they made me feel safe and at home. Thank you guys so much for all the attention and great service.

Repeat patient here. Dr K and the team are super caring. Appreciate the followup calls. The office is nice and clean. Highly recommend!

The staff were very kind and all were working very hard hard to address all the patients there. I was able to get a same day appointment.

The staff was very friendly and welcoming. The staff was very friendly as soon as we walked in the door. They were very prompt and helped us out right away. The made the experience easy.

All my questions were answered and I did not feel judged or unsafe. It was overall a great experience.

After researching up so many clinics, I decided to go to Her Smart Choice. All the medical staff members and doctor himself were friendly and understanding. No one was judgemental and questioned my decision.