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.

DESIGN

Case report.

SETTING

University hospital.

PATIENT(S): 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.

INTERVENTION(S): Insertion of a coated nitinol stent in the cervical canal after dilatation and hysteroscopic removal of the hematometra.

MAIN OUTCOME MEASURE(S): Normal menstruation, future pregnancy.

RESULT(S): The patient was free of symptoms, had a normal menstruation, and has become pregnant.

CONCLUSION(S): 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.