Therapy of recurrent hematometra caused by cervical stenosis after laser-conization using a coated nitinol-stent

Background: The incidence of hematometra due to cervical stenosis after conization is less than 1%. Nevertheless, if dilatation fails further therapy often remains unclear. The clinical consequences can be severe, including hysterectomy. Case: We report the case of a 33-year old patient who had two conizations during lactation amenorrhoea because of an adenocarcinoma in situ of the cervix. This lead to recurrent cervical stenosis with consecutive hematometra every month. The stenosis could not be sufficiently treated by repeated dilatation and insertion of a temporary plastic catheter (Fehling-catheter). With th…