{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:05:50Z","timestamp":1756339550255,"version":"3.44.0"},"reference-count":14,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2022,1,27]]},"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:p>Large loop excision of the transformation zone (LLETZ) is one of the fertility sparing treatments for people with high-grade cervical intraepithelial neoplasia, however, this procedure is known to increase the risk of postoperative cervical stenosis by 1.3%\u20135.2%. We present a case demonstrating the successful use of a copper intrauterine contraceptive device to manage a patient with cervical stenosis secondary to three LLETZ procedures for severe dyskaryosis.<\/jats:p>","DOI":"10.1136\/bcr-2021-246118","type":"journal-article","created":{"date-parts":[[2022,3,1]],"date-time":"2022-03-01T12:31:39Z","timestamp":1646137899000},"page":"e246118","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Role of an IUCD in managing patients with post-LLETZ cervical stenosis"],"prefix":"10.1136","volume":"15","author":[{"given":"Samantha","family":"Ross","sequence":"first","affiliation":[{"name":"University of Dundee School of Medicine, Dundee, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kalpana","family":"Ragupathy","sequence":"additional","affiliation":[{"name":"Gynaecology, University of Dundee College of Medicine Dentistry and Nursing and Ninewells Hospital, Dundee, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2022,3,1]]},"reference":[{"key":"2025082710105283000_15.3.e246118.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(96)00331-6"},{"key":"2025082710105283000_15.3.e246118.2","unstructured":"RCOG . LLETZ (large loop excision of the transformation zone), 2020: 8."},{"key":"2025082710105283000_15.3.e246118.3","first-page":"195","article-title":"Recurrent cervical stenosis - a troublesome clinical entity","volume":"23","author":"Mathew","year":"2008","journal-title":"Oman Med J"},{"key":"2025082710105283000_15.3.e246118.4","doi-asserted-by":"crossref","first-page":"510","DOI":"10.1097\/01.ogx.0000172380.65218.a8","article-title":"A comparative study of two methods of large loop excision of the transformation zone","volume":"60","author":"Mossa","year":"2005","journal-title":"Obstet Gynecol Surv"},{"key":"2025082710105283000_15.3.e246118.5","doi-asserted-by":"crossref","first-page":"986","DOI":"10.3760\/cma.j.issn.0366-6999.20132189","article-title":"Vascular stent as a treatment for refractory cervical stenosis","volume":"127","author":"Yang","year":"2014","journal-title":"Chin Med J"},{"key":"2025082710105283000_15.3.e246118.6","unstructured":"et al Ross J , Cole M , Evans C . 2018 United Kingdom national guideline for the management of pelvic inflammatory disease introduction and methodology. BASHH Guidel, 2018. Available: https:\/\/www.bashhguidelines.org\/media\/1170\/pid-2018.pdf"},{"key":"2025082710105283000_15.3.e246118.7","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3802\/jgo.2019.30.e42","article-title":"A randomized trial comparing limited-excision conisation to large loop excision of the transformation zone (LLETZ) in cervical dysplasia patients","volume":"30","author":"Kolben","year":"2019","journal-title":"J Gynecol Oncol"},{"key":"2025082710105283000_15.3.e246118.8","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2009.02263.x"},{"key":"2025082710105283000_15.3.e246118.9","first-page":"21","article-title":"Obstetric outcomes after conservative treatment for cervical intraepithelial lesions and early invasive disease","volume":"11","author":"Kyrgiou","year":"2017","journal-title":"Cochrane Database Syst Rev"},{"key":"2025082710105283000_15.3.e246118.10","doi-asserted-by":"crossref","first-page":"372","DOI":"10.1097\/LGT.0000000000000568","article-title":"Cervical stenosis: previously unrecognized cause of false-negative human papillomavirus tests in women developing cervical cancer","volume":"24","author":"Satturwar","year":"2020","journal-title":"J Low Genit Tract Dis"},{"key":"2025082710105283000_15.3.e246118.11","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s13256-016-0831-9","article-title":"Levonorgestrel-releasing intrauterine system placement for severe uterine cervical stenosis after conization: two case reports","volume":"10","author":"Motegi","year":"2016","journal-title":"J Med Case Rep"},{"key":"2025082710105283000_15.3.e246118.12","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1016\/j.fertnstert.2006.10.008","article-title":"A new approach to preserve fertility by using a coated nitinol stent in a patient with recurrent cervical stenosis","volume":"87","author":"Grund","year":"2007","journal-title":"Fertil Steril"},{"key":"2025082710105283000_15.3.e246118.13","doi-asserted-by":"crossref","first-page":"406","DOI":"10.1111\/j.1479-828X.2007.00766.x","article-title":"Urinary catheter stent placement for treatment of cervical stenosis","volume":"47","author":"Tan","year":"2007","journal-title":"Aust N Z J Obstet Gynaecol"},{"key":"2025082710105283000_15.3.e246118.14","doi-asserted-by":"crossref","first-page":"887","DOI":"10.1007\/s00404-009-1205-y","article-title":"Management of severe cervical stenosis after conization by detention of nylon threads tied up to intrauterine contraceptive device","volume":"281","author":"Nasu","year":"2010","journal-title":"Arch Gynecol Obstet"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-246118","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T17:10:59Z","timestamp":1756314659000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-246118"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3]]},"references-count":14,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2022,3,1]]},"published-print":{"date-parts":[[2022,3]]}},"alternative-id":["10.1136\/bcr-2021-246118"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-246118","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2022,3]]}}}