link
Bookmarks
Cervical Stenosis
Douglas Rogers, MD
To access 4,300 diagnoses written by the world's leading experts in radiology, please log in or subscribe.Subscribe
0
3
3
1

KEY FACTS

  • Terminology

    • Imaging

      • Pathology

        • Clinical Issues

          TERMINOLOGY

          • Definitions

            • Cervical canal narrowing from benign or iatrogenic source
              • Controversy over whether term "cervical stenosis" should be reserved for cases of cervical narrowing that are not result of mass effect by tumor on endocervical canal
            • Defined as inability to pass 2.5- to 4.5-mm probe through cervical os

          IMAGING

          • General Features

            • CT Findings

              • MR Findings

                • Ultrasonographic Findings

                  • Imaging Recommendations

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        CLINICAL ISSUES

                        • Presentation

                          • Demographics

                            • Natural History & Prognosis

                              • Treatment

                                DIAGNOSTIC CHECKLIST

                                • Image Interpretation Pearls

                                  Selected References

                                  1. Izhar R et al: Cervical stenosis and pregnancy rate after ultrasound guided cervical dilation in women undergoing saline infusion sonography. J Ultrason. 20(81):e116-21, 2020
                                  2. Nakajima T et al: Reconstructed uterine length is critical for the prevention of cervical stenosis following abdominal trachelectomy in cervical cancer patients. J Obstet Gynaecol Res. 46(2):328-36, 2020
                                  3. Hasegawa K et al: The problems of cervical conization for postmenopausal patients. Eur J Gynaecol Oncol. 37(3):327-31, 2016
                                  4. Papadopoulou I et al: Post-radiation therapy imaging appearances in cervical carcinoma. Radiographics. 36(2):538-53, 2016
                                  5. Jain D: An unusual case of secondary amenorrhoea. BMJ Case Rep, 2013
                                  6. Noor C et al: An unusual case of hematometra in a postmenopausal woman associated with Manchester repair. J Low Genit Tract Dis. 16(2):162-4, 2012
                                  7. Cicchiello LA et al: Ultrasound evaluation of gynecologic causes of pelvic pain. Obstet Gynecol Clin North Am. 38(1):85-114, viii, 2011
                                  8. Walid MS et al: An invisible stenotic cervix. Arch Gynecol Obstet. 283 Suppl 1:121-2, 2011
                                  9. Opolskiene G et al: Three-dimensional ultrasound imaging for discrimination between benign and malignant endometrium in women with postmenopausal bleeding and sonographic endometrial thickness of at least 4.5 mm. Ultrasound Obstet Gynecol. 35(1):94-102, 2010
                                  10. Borgatta L et al: Cervical obstruction complicating second-trimester abortion: treatment with misoprostol. Obstet Gynecol. 113(2 Pt 2):548-50, 2009
                                  11. Diedrich J et al: Complications of surgical abortion. Clin Obstet Gynecol. 52(2):205-12, 2009
                                  12. Steinkeler JA et al: Female infertility: a systematic approach to radiologic imaging and diagnosis. Radiographics. 29(5):1353-70, 2009
                                  13. Christianson MS et al: Overcoming the challenging cervix: techniques to access the uterine cavity. J Low Genit Tract Dis. 12(1):24-31, 2008
                                  14. Grund D et al: A new approach to preserve fertility by using a coated nitinol stent in a patient with recurrent cervical stenosis. Fertil Steril. 87(5):1212, 2007
                                  15. McCausland AM et al: Long-term complications of endometrial ablation: cause, diagnosis, treatment, and prevention. J Minim Invasive Gynecol. 14(4):399-406, 2007
                                  16. Tan Y et al: Urinary catheter stent placement for treatment of cervical stenosis. Aust N Z J Obstet Gynaecol. 47(5):406-9, 2007
                                  17. Van den Bosch T et al: A thin and regular endometrium on ultrasound is very unlikely in patients with endometrial malignancy. Ultrasound Obstet Gynecol. 29(6):674-9, 2007
                                  18. Debby A et al: Intra-uterine fluid collection in postmenopuasal women with cervical stenosis. Maturitas. 55(4):334-7, 2006
                                  19. Hammoud AO et al: Ultrasonography-guided transvaginal endometrial biopsy: a useful technique in patients with cervical stenosis. Obstet Gynecol. 107(2 Pt 2):518-20, 2006
                                  20. Newman C et al: Hysterectomy in women with cervical stenosis. Surgical indications and pathology. J Reprod Med. 48(9):672-6, 2003
                                  21. Houlard S et al: Risk factors for cervical stenosis after laser cone biopsy. Eur J Obstet Gynecol Reprod Biol. 104(2):144-7, 2002
                                  22. Ohara N: Acute onset of hematometra associated with endometritis and cervical stenosis. A case report. Clin Exp Obstet Gynecol. 29(1):23-4, 2002
                                  Related Anatomy
                                  Loading...
                                  Related Differential Diagnoses
                                  Loading...
                                  References
                                  Tables

                                  Tables

                                  KEY FACTS

                                  • Terminology

                                    • Imaging

                                      • Pathology

                                        • Clinical Issues

                                          TERMINOLOGY

                                          • Definitions

                                            • Cervical canal narrowing from benign or iatrogenic source
                                              • Controversy over whether term "cervical stenosis" should be reserved for cases of cervical narrowing that are not result of mass effect by tumor on endocervical canal
                                            • Defined as inability to pass 2.5- to 4.5-mm probe through cervical os

                                          IMAGING

                                          • General Features

                                            • CT Findings

                                              • MR Findings

                                                • Ultrasonographic Findings

                                                  • Imaging Recommendations

                                                    DIFFERENTIAL DIAGNOSIS

                                                      PATHOLOGY

                                                      • General Features

                                                        CLINICAL ISSUES

                                                        • Presentation

                                                          • Demographics

                                                            • Natural History & Prognosis

                                                              • Treatment

                                                                DIAGNOSTIC CHECKLIST

                                                                • Image Interpretation Pearls

                                                                  Selected References

                                                                  1. Izhar R et al: Cervical stenosis and pregnancy rate after ultrasound guided cervical dilation in women undergoing saline infusion sonography. J Ultrason. 20(81):e116-21, 2020
                                                                  2. Nakajima T et al: Reconstructed uterine length is critical for the prevention of cervical stenosis following abdominal trachelectomy in cervical cancer patients. J Obstet Gynaecol Res. 46(2):328-36, 2020
                                                                  3. Hasegawa K et al: The problems of cervical conization for postmenopausal patients. Eur J Gynaecol Oncol. 37(3):327-31, 2016
                                                                  4. Papadopoulou I et al: Post-radiation therapy imaging appearances in cervical carcinoma. Radiographics. 36(2):538-53, 2016
                                                                  5. Jain D: An unusual case of secondary amenorrhoea. BMJ Case Rep, 2013
                                                                  6. Noor C et al: An unusual case of hematometra in a postmenopausal woman associated with Manchester repair. J Low Genit Tract Dis. 16(2):162-4, 2012
                                                                  7. Cicchiello LA et al: Ultrasound evaluation of gynecologic causes of pelvic pain. Obstet Gynecol Clin North Am. 38(1):85-114, viii, 2011
                                                                  8. Walid MS et al: An invisible stenotic cervix. Arch Gynecol Obstet. 283 Suppl 1:121-2, 2011
                                                                  9. Opolskiene G et al: Three-dimensional ultrasound imaging for discrimination between benign and malignant endometrium in women with postmenopausal bleeding and sonographic endometrial thickness of at least 4.5 mm. Ultrasound Obstet Gynecol. 35(1):94-102, 2010
                                                                  10. Borgatta L et al: Cervical obstruction complicating second-trimester abortion: treatment with misoprostol. Obstet Gynecol. 113(2 Pt 2):548-50, 2009
                                                                  11. Diedrich J et al: Complications of surgical abortion. Clin Obstet Gynecol. 52(2):205-12, 2009
                                                                  12. Steinkeler JA et al: Female infertility: a systematic approach to radiologic imaging and diagnosis. Radiographics. 29(5):1353-70, 2009
                                                                  13. Christianson MS et al: Overcoming the challenging cervix: techniques to access the uterine cavity. J Low Genit Tract Dis. 12(1):24-31, 2008
                                                                  14. Grund D et al: A new approach to preserve fertility by using a coated nitinol stent in a patient with recurrent cervical stenosis. Fertil Steril. 87(5):1212, 2007
                                                                  15. McCausland AM et al: Long-term complications of endometrial ablation: cause, diagnosis, treatment, and prevention. J Minim Invasive Gynecol. 14(4):399-406, 2007
                                                                  16. Tan Y et al: Urinary catheter stent placement for treatment of cervical stenosis. Aust N Z J Obstet Gynaecol. 47(5):406-9, 2007
                                                                  17. Van den Bosch T et al: A thin and regular endometrium on ultrasound is very unlikely in patients with endometrial malignancy. Ultrasound Obstet Gynecol. 29(6):674-9, 2007
                                                                  18. Debby A et al: Intra-uterine fluid collection in postmenopuasal women with cervical stenosis. Maturitas. 55(4):334-7, 2006
                                                                  19. Hammoud AO et al: Ultrasonography-guided transvaginal endometrial biopsy: a useful technique in patients with cervical stenosis. Obstet Gynecol. 107(2 Pt 2):518-20, 2006
                                                                  20. Newman C et al: Hysterectomy in women with cervical stenosis. Surgical indications and pathology. J Reprod Med. 48(9):672-6, 2003
                                                                  21. Houlard S et al: Risk factors for cervical stenosis after laser cone biopsy. Eur J Obstet Gynecol Reprod Biol. 104(2):144-7, 2002
                                                                  22. Ohara N: Acute onset of hematometra associated with endometritis and cervical stenosis. A case report. Clin Exp Obstet Gynecol. 29(1):23-4, 2002