nitinol and Hematometra

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.. Case report.. University hospital.. 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.. Insertion of a coated nitinol stent in the cervical canal after dilatation and hysteroscopic removal of the hematometra.. Normal menstruation, future pregnancy.. The patient was free of symptoms, had a normal menstruation, and has become pregnant.. 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.

Topics: Adult; Alloys; Cervix Uteri; Constriction, Pathologic; Female; Fertility; Hematometra; Humans; Infertility, Female; Recurrence; Stents; Uterine Cervical Diseases