Persistent posttrachelectomy cervical stenosis treated with Petit-Le Four pessary in early cervical cancer patients: a report of two cases.
OBJECTIVE
To report on posttrachelectomy refractory cervical stenosis in two women with early cervical cancer that was resolved by using a Petit-Le Four tube, an older type of cervical pessary.


METHODS
Case report.


METHODS
Tertiary care, university hospital.


METHODS
Two young women with FIGO stage IB1 cervical cancer and posttrachelectomy cervical stenosis.


METHODS
Cervical dilatations and Petit-Le Four cervical pessary insertion.


METHODS
Treatment of hematometra, pelvic pain, and infertility.


RESULTS
The Petit-Le Four cervical pessary is a good therapeutic option for the treatment of cervical stenosis after trachelectomy performed for early cervical cancer.


CONCLUSIONS
Persistent hematometra from cervical stenosis could compromise both fertility and quality of life, and often requires dilatation of the cervical ostium, which must be performed several times in the same patient to obtain optimal results. Cervical dilators left in place could help physicians in the treatment of recurrent cervical stenosis after trachelectomy.
Palaia
Innocenza
I
Department of Obstetrics and Gynecology, La Sapienza University, Rome, Italy.
Perniola
Giorgia
G
Arrivi
Cristiana
C
Sansone
Milena
M
Pastore
Maria
M
Calcagno
Marco
M
Panici
Pierluigi Benedetti
PB
D000328:Adult; D002294:Carcinoma, Squamous Cell / Q000473:pathology / Q000601:surgery*; D003251:Constriction, Pathologic / Q000209:etiology / Q000628:therapy; D005260:Female; D005307:Fertilization in Vitro; D006801:Humans; D007434:Intrauterine Devices; D011183:Postoperative Complications / Q000628:therapy*; D011247:Pregnancy; D011256:Pregnancy Outcome; D012008:Recurrence; D002577:Uterine Cervical Diseases / Q000209:etiology / Q000628:therapy*; D002583:Uterine Cervical Neoplasms / Q000473:pathology / Q000601:surgery*