Taiwanese Journal of Obstetrics and Gynecology
Volume 46, Issue 1 , Pages 38-42, March 2007

Novel Adjunctive Treatment for Cervical Adhesion with Cross-Type Nelaton Catheter: A Preliminary Report and Literature Review

  • Jen-Ching Lin

      Affiliations

    • Department of Obstetrics and Gynecology, Lin Shin Hospital, Taichung, Taiwan
    • ,
  • Yun-O Chen

      Affiliations

    • Department of Obstetrics and Gynecology, Lin Shin Hospital, Taichung, Taiwan
    • ,
  • Chi-Chen Chang

      Affiliations

    • Department of Obstetrics and Gynecology, China Medical University Hospital, Taichung, Taiwan
    • ,
  • Yao-Yuan Hsieh

      Affiliations

    • Department of Obstetrics and Gynecology, China Medical University Hospital, Taichung, Taiwan
    • Department of Biological Science and Technology, National Chiao Tung University, Hsinchu, Taiwan
    • Corresponding Author InformationCorrespondence to: Dr Yao-Yuan Hsieh, Department of Obstetrics and Gynecology, China Medical University Hospital, 2, Yuh-Der Road, Taichung, Taiwan
    • Jen-Ching Lin and Yao-Yuan Hsieh contributed equally to this work.

Accepted 18 January 2006.

Article Outline

Summary 

Objective

Intrauterine adhesion remains a common complication post dilatation and curettage (D&C) in reproductive females. Internal cervical orifice adhesion (ICA) is also observed incidentally after D&C. Here, we introduce a novel adjunctive management for ICA with cross-type nelaton catheter.

Materials and Methods

In this study, 20 patients suffering from amenorrhea and ICA after D&C were included. All individuals underwent flexible hysteroscopy to confirm their simple ICA statuses. All women accepted the insertion of simple cross-type nelaton catheter. Two weeks post insertion, the catheter was removed and a secondlook hysteroscopy was performed. Three months post catheter removal, the menstruation statuses and the efficiency of nelaton catheter in preventing ICA were evaluated.

Results

Nineteen patients had 3-month follow-up. Seventeen individuals (89.4%) had normal menstruation flow as well as the impact internal orifice of cervical canal. Only two patients (10.5%) had hypomenorrhea and fibrotic narrowing of the internal orifice of the cervix, which required resectoscopy to remove the internal cervical adhesions. All patients appeared the competence of endurance for these procedures.

Conclusion

The novel cross-type nelaton catheter is a simple, well tolerated, and highly effective method for the management of ICA after D&C.

Key Words:  flexible hysteroscope , intracervical adhesion , intrauterine adhesion , nelaton catheter

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PII: S1028-4559(08)60104-7

doi:10.1016/S1028-4559(08)60104-7

Taiwanese Journal of Obstetrics and Gynecology
Volume 46, Issue 1 , Pages 38-42, March 2007

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