A new approach to preserve fertility by using a coated nitinol stent in a patient with recurrent cervical stenosis.
OBJECTIVE
The incidence of hematometra caused by cervical stenosis after conization is <1%. Nevertheless, if dilatation was unsuccessful, further therapy often remains unclear, and the clinical consequences can be severe, including hysterectomy.


METHODS
Case report.


METHODS
University hospital.


METHODS
A 33-year old patient who developed recurrent cervical stenosis with consecutive hematometra after two conizations during lactation amenorrhea that could not be treated by dilatation and insertion of a temporary plastic catheter according to the manufacturer's instructions.


METHODS
Insertion of a coated nitinol stent in the cervical canal after dilatation and hysteroscopic removal of the hematometra.


METHODS
Normal menstruation, future pregnancy.


RESULTS
The patient was free of symptoms, had a normal menstruation, and has become pregnant.


CONCLUSIONS
The insertion of a coated vessel stent in the uterine cervix appears to be a valid alternative in patients with recurrent cervical stenosis and hematometra after conization to preserve childbearing function.
Grund
Dorothee
D
Department of Gynecology, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Köhler
Christhardt
C
Krauel
Holger
H
Schneider
Achim
A
D000328:Adult; D000497:Alloys / Q000008:administration & dosage*; D002584:Cervix Uteri / Q000187:drug effects / Q000473:pathology*; D003251:Constriction, Pathologic / Q000188:drug therapy / Q000473:pathology; D005260:Female; D005298:Fertility / Q000187:drug effects*; D006409:Hematometra / Q000188:drug therapy / Q000473:pathology; D006801:Humans; D007247:Infertility, Female / Q000517:prevention & control; D012008:Recurrence; D015607:Stents; D002577:Uterine Cervical Diseases / Q000188:drug therapy / Q000473:pathology
D000497:Alloys; C013616:nitinol