Cervical conization

Conization consists of removing a small, cone-shaped fragment of the cervix in order to treat precancerous lesions detected during a smear test and then confirmed by colposcopy and biopsy. It is an essential preventive procedure: by removing the area carrying the lesions, it prevents their possible progression to cervical cancer. The procedure is performed through the natural passages, without any incision, most often with a diathermy loop, under short-duration anesthesia. It is brief and performed as a day-case procedure: the patient goes home the same day. The removed fragment is analyzed in its entirety, which makes it possible to verify that the lesions have been completely removed. Conization preserves fertility: pregnancies remain possible after the procedure. The gynecologist takes this into account in the technique used, removing the necessary tissue while preserving as much of the length of the cervix as possible, and adapts the monitoring of subsequent pregnancies if needed. At Clinique Pasteur Tunis, conization is part of a complete pathway for the screening and follow-up of cervical lesions, coordinated by the establishment's gynecologists. A smear-test surveillance schedule is established after the procedure to ensure lasting recovery.