title: Persistent posttrachelectomy cervical stenosis treated with Petit-Le Four pessary in early cervical cancer patients: a report of two cases.
abstract: 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.
authors.affiliation: Department of Obstetrics and Gynecology, La Sapienza University, Rome, Italy.
authors.forename: Innocenza
authors.initials: I
authors.lastname: Palaia
authors.forename: Giorgia
authors.initials: G
authors.lastname: Perniola
authors.forename: Cristiana
authors.initials: C
authors.lastname: Arrivi
authors.forename: Milena
authors.initials: M
authors.lastname: Sansone
authors.forename: Maria
authors.initials: M
authors.lastname: Pastore
authors.forename: Marco
authors.initials: M
authors.lastname: Calcagno
authors.forename: Pierluigi Benedetti
authors.initials: PB
authors.lastname: Panici
mesh_terms: 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*