Cold Knife Conization Procedure (CKC)
A Cold Knife Conization procedure is indicated once moderate to high grade dysplasia (abnormal cells) are confirmed after colposcopic examination. It is particularly indicated if the cells were mostly found high in the endocervical canal, if there is a question of microinvasive abnormal cells, or If abnormal glandular cells were found. The procedure is both diagnostic (helps to ensure abnormal cells diagnosed are not more worrisome than reported after colposcopic biopsies) and therapeutic (removes the abnormal cells preventing further growth). A scalpel is used to remove the area on the cervix where the abnormal cells were identified and the tissue surrounding the endocervical canal. The procedure takes approximately 20 minutes. The procedure is performed in the operating room. You will go home the same day. You should abstain from placing anything in the vagina or intercourse for at least three days prior to the procedure and for up to four weeks after the procedure. If you start your period prior to the procedure, it should be rescheduled.