Having a cone biopsy

This information has been written to explain your operation and the benefits and risks. The medical and nursing staff will be happy to answer any questions you may have.

Why do I need a cone biopsy?

Your smear test/colposcopy has shown some abnormal cells on your cervix. It is important to remember that it is very rare for these cells to be cancerous. However, if left untreated they may (in a few patients) turn cancerous in time.

What is involved?
A cone of tissue containing the abnormal area is cut away and sent to the laboratory for examination. It may be cut away using a hot wire loop or a scalpel. This procedure is performed under a general anaesthetic (which means you will be asleep throughout) and takes approximately 15 minutes.

What are the benefits of having a cone biopsy?

The cone biopsy is designed to treat your cervix by taking away the part that is abnormal. In addition, a pathologist will examine the specimen to confirm the diagnosis and to check that all the abnormal cells have been removed.

Are there any risks involved in having a cone biopsy?

As with any procedure, there is a small chance that you may have side-effects or complications which include: Heavy bleeding may occur immediately after your procedure or up to 10 - 14 days following your procedure. There is a small risk you may develop an infection that will require antibiotic treatment. Very rarely, the cervix may be weakened. The cervix will be scarred and may narrow, which may increase period pain. Rarely the cervix can become closed necessitating further surgery to dilate (enlarge) the cervical canal.

What should I expect after the operation?

Bleeding You may have a gauze pack put into your vagina at the time of your operation to reduce any bleeding. The pack will be removed on your doctors instructions, usually the morning after. You will be advised to rest on your bed for a couple of hours to check there is no heavy bleeding. Sometimes you can go home later the same day, occasionally you will need to stay in longer (2 - 3 days). Some light bleeding, brownish/black or watery discharge is expected for up to 6 weeks. Your period may be light or heavy, early or late for 2 - 3 months following treatment. It is advisable to avoid tampons for 4 weeks. Any other discharge, particularly if offensive in smell or bright red, heavy and fresh in nature, should be reported to your GP.

DISCHARGE INFORMATION AND AT HOME ADVICE

Pain relief Many patients do not have pain afterwards. However, you may feel a mild pain. If so, please take some Paracetamol - follow the manufacturers instructions and do not exceed the stated dose. Sexual intercourse You should not have sexual intercourse for 4 weeks. Returning to work If your bleeding is not heavy and you feel ready, you may return to work after a week. Follow up appointment You will be given a letter to give to your GP as soon as possible after returning home. If an outpatient clinic appointment is needed an appointment will be sent to you through the post. For most patients, a cone biopsy will remove all abnormal tissue and no further treatment will be required. It is important to keep your appointments for regular check ups as advised by your doctor to make sure that your cervix remains healthy.

Can the problem come back?

Sometimes the problem may continue. If so it is most likely in the first 2 - 3 years. This is why you will have more frequent smears for the next 5 years to make sure your cervix remains healthy. If you have any queries, or require further information please contact Ward 209 on 01332 787209. NHS Direct is a 24 hour nurse led, confidential service providing general health care advice and information. Telephone 0845 4647 or visit the website at www.nhsdirect.nhs.uk
Any external organisations and websites included here do not necessarily reflect the views of the Derby Hospitals NHS Foundation Trust, nor does their inclusion constitute a recommendation.

Reference Code: P0100/0638/12.2007/VERSION4

Copyright 2007 All rights reserved. No part of this publication may be reproduced in any form or by any means without prior permission in writing from the Patient Information Service, Derby Hospitals NHS Foundation Trust. (G10389/12.2006/V3)