title: Management of hematocervix after loop electrosurgical excision procedure.
abstract: BACKGROUND
  Management is not established for the uncommon complication of cervical stenosis secondary to a loop electrosurgical excision procedure resulting in a hematocervix.
  
  
  METHODS
  A premenopausal woman underwent an electrosurgical procedure performed without complications and subsequently developed amenorrhea. The patient was determined to have developed a hematocervix secondary to the electrosurgical procedure. Increasingly aggressive methods were attempted to drain the hematocervix, finally with successful drainage being accomplished with the use of a manual vacuum aspirator. A catheter was then used to maintain patency of the cervical canal as it re-epithelialized.
  
  
  CONCLUSIONS
  Manual vacuum aspiration and placement of a catheter to allow for re-epithelialization is a successful strategy to deal with hematocervix caused by electrosurgical procedures.
authors.affiliation: From the University of Colorado School of Medicine, Aurora, Colorado.
authors.forename: Alexander C
authors.initials: AC
authors.lastname: Perino
authors.forename: Johanne
authors.initials: J
authors.lastname: Python
authors.forename: L Chesney
authors.initials: LC
authors.lastname: Thompson
mesh_terms: D000328:Adult; D057785:Catheters; D019092:Conization / Q000009:adverse effects*; D004598:Electrosurgery / Q000009:adverse effects*; D005260:Female; D006409:Hematometra / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D016896:Treatment Outcome; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis / Q000601:surgery; D014619:Vacuum Curettage; D002578:Uterine Cervical Dysplasia / Q000175:diagnosis / Q000601:surgery