Fredrick H. Creutzmann, M.D.
Obstetrics, Gynecology and Infertility
4323 North Josey Lane
Plaza I, Suite #203
Carrollton, Texas 75010
972-394-7277 or www.DrCmd.com

What is cryocautery? Cryocautery is a safe, effective method of treating abnormalities of the cervix. These abnormalities that are frequently pre-cancerous were treated in the past with surgery in the operating room. The need to treat an abnormality of the cervix is based on the pap smear, the colposcopic biopsy findings, the physical exam and the clinical history. Here are some facts you need to know about cryocautery of the cervix:

1) SCHEDULING: It is better to do this procedure shortly after a menstrual cycle. There is a very heavy discharge created by the destroyed cells coming off the cervix. This discharge combined with a menses may be an overwhelming volume. This early in the cycle timing also prevents performing this procedure on anyone who is-pregnant.

2) PROCEDURE: The cervix is frozen during a regular gynecologic speculum exam, just like a pap smear. A cryo probe is placed on the cervix and the machine is turned on. Liquid nitrous oxide is run through the probe and this brings the temperature down below zero. The procedure generally takes about twenty minutes and is frequently accompanied by some mild cramping. Rarely a patient will experience dizziness or a rapid heart rate.

3) INSTRUCTIONS: Most patients experience the profuse watery discharge for about two weeks after the procedure. This is the destruction of the abnormal area. You should not douche, use a tampon or have intercourse until the discharge stops. If you have cramps you may take Tylenol or Advil. If you develop severe cramping, heavy bleeding or a fever let me know. Rarely the destruction of the cervical tissue can create an opportunity for the vaginal bacteria to cause an infection. After two weeks, if you feel the need for vaginal cleansing, you may use a vinegar and water douche every other day (1/4 cup vinegar in a quart of water).

4) FOLLOW-UP: Your next appointment with me will be in three months, then every six month for at least two years, maybe longer depending on the severity of the abnormality. A pap smear will be done each visit to confirm the adequacy of your therapy. It appears that cryocautery is about 90% effective in treating abnormalities of the cervix. Most failures of this therapy occur in the first two years. This is why it is very important that you do follow through with the prescribed follow-up. If you move or change insurance, please contact me so I can direct your records to your new doctor and he can continue appropriate care.