Cervical Dysplasia

What is cervical dysplasia?

cervical dysplasia

Cervical dysplasia is a pre-cancerous condition in which the cells lining the cervix or the endo-cervical region undergo atypical changes. An intervention done at the right time can save a patient from the disastrous effects of cervical cancer.

How do you diagnose cervical dysplasia?
Most early forms of cervical dysplasia are symptomless, thus regular alannual Pap smear testing is recommended for all women above the age of 35 years. If any abnormalities are noticed in the Pap smear, a colposcopy to better visualize the cervix is performed and a tiny biopsy is taken and sent for evaluation.

What if I have abnormal colposcopic findings?
How do you diagnose cervical dysplasia?

Most early forms of cervical dysplasia are symptomless, thus regular annual Pap smear testing is recommended for all women above the age of 35 years. If any abnormalities are noticed in the Pap smear, a colposcopy to better visualize the cervix is performed and a tiny biopsy is taken and sent for evaluation.

What if I have abnormal colposcopic findings?

LEEP (Loop Electrosurgical Excision Procedure) will be performed to completely remove the pre- cancerous tissue from the cervix. This is done as an office procedure and does not require hospital stay.

What are the stages of cervical cancer?

• Stage 0: Precancerous lesion involves only the cells on the surface of the cervix.
• Stage I: Cancer is confined to the cervix, and may be evident only under microscopic evaluation (stage IA) or apparent by visible or physical examination (stage IB).
• Stage II: Cancer has spread beyond the cervix to involve the tissues surrounding the cervix or the upper portion of the vagina.
• Stage III: Cancer spreads beyond the cervix to the lower vagina or to the sides of the pelvis, or causes a blockage of drainage from the kidney, a condition called hydronephrosis.
• Stage IV: Cancer invades structures adjacent to the cervix such as the bladder or rectum or has spread to other parts of the body such as the liver or lungs.

What is the definitive treatment?

If the cervical cancer is not localized to the cervix, then the treatment of choice is laparoscopic hysterectomy as it also prevents recurrence of cancer. For early-stage cervical cancer, laparoscopic radical hysterectomy is performed. This is a procedure that requires sufficient skill and involves the complete removal of the uterus along with separating all other neighboring structures(like bladder, ureters & rectum) away from it. This is always accompanied by a pelvic lymphadenectomy, wherein all the lymph nodes within the pelvis are removed.Our surgeons do their best to assess the patients with cancer on a case-by-case basis to choose the best treatment options. The type of option depends on the stage of cancer. We will do everything in our power to make you understand the condition and treatment options.

Why choose Indigo Womens Center for your surgery?

At Indigo Womens Center we are pioneers in performing a radical hysterectomy, our surgeons have developed their own novel techniques with over several years of experience. Using advanced energy sources we are able to give patients the benefits of the fastest recovery while making the surgery as “scar-less” and “pain-less” as possible. Our surgical techniques also help us reduce time of surgery, effectively reducing risks associated with anaesthesia.

For patients with severe adhesions (connections to other organs) due to previous surgery, we have "lateral window dissection" technique for the bladder, which helps us to separate the bladder from the uterus with no injury to the bladder whatsoever.

Patients with severe adhesions behind the uterus due to endometriosis or previous surgery, we perform retroperitoneal dissection to identify the ureters and separate them away from the surgical area. Very few ob-gyn specialists are able to perform this dissection because it requires years of experience and good understanding of instrument ergonomics and anatomy to perform safely.

We are able to remove uteri of any size using our approach. These techniques are far less expensive than robotic surgery which most ob-gyn may recommend for patients with large uteri.