{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T15:33:08Z","timestamp":1782487988992,"version":"3.54.5"},"reference-count":14,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Sage Open Medical Case Reports"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:p>Vaginal bleeding and pelvic pain are frequently observed after supracervical hysterectomy with preservation of the ovary. In this article, we describe original and successful office hysteroscopic partial epithelial ablation of the cervical stump with a bipolar instrument, in a patient suffering from vaginal bleeding and pain, occurred after supracervical hysterectomy. Hysteroscopy was performed on a 48-year-old Caucasian patient, which was brought to our attention for vaginal bleeding and associated pain 1\u2009year after supracervical hysterectomy. The procedure was carried out in an office setting using the vaginoscopic approach, using the 4-mm continuous-flow operative office hysteroscope with a 2.9-mm rod lens. After introducing the hysteroscope into the cervical canal, a recess with hyperplastic residual epithelial tissue was usually found. We performed partial epithelial ablation with bipolar Versapoint Twizzle Electrode to minimize vaginal bleeding and pain by reducing hormone-responsive tissue. At 4\u2009years of follow-up, the patient reported complete disappearance of pain and only few and irregular vaginal bleeding. Office hysteroscopic treatment of vaginal bleeding and associated pain after supracervical hysterectomy is a simple procedure that can be easily introduced into common clinical practice.<\/jats:p>","DOI":"10.1177\/2050313x251407045","type":"journal-article","created":{"date-parts":[[2025,12,23]],"date-time":"2025-12-23T05:32:46Z","timestamp":1766467966000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Office hysteroscopic treatment of vaginal bleeding and related pain after supracervical hysterectomy: A case report"],"prefix":"10.1177","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9004-1022","authenticated-orcid":false,"given":"Maria Antonietta","family":"Castaldi","sequence":"first","affiliation":[{"name":"Unit of High-Risk Pregnancy and Prenatal Diagnosis, University of Salerno, Azienda Ospedaliera Universitaria \u201cSan Giovanni di Dio e Ruggi d\u2019Aragona\u201d, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salvatore Giovanni","family":"Castaldi","sequence":"additional","affiliation":[{"name":"Department of Transfusional Medicine, University of Salerno, Azienda Ospedaliera Universitaria \u201cSan Giovanni di Dio e Ruggi d\u2019Aragona\u201d, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,12,22]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2007.06.006"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1155\/2010\/989127"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1074-3804(05)60504-X"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2008.01854.x"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2013.01.009"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2013.08.001"},{"issue":"1","key":"e_1_3_2_8_2","first-page":"26","article-title":"Classic intrafascial supracervical hysterectomy (CISH): 10-year experience","volume":"10","author":"Morrison JE","year":"2006","unstructured":"Morrison JEJr, Jacobs VR. Classic intrafascial supracervical hysterectomy (CISH): 10-year experience. JSLS 2006; 10(1): 26\u201329.","journal-title":"JSLS"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2005.05.007"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1080\/00016340601024716"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2013.01.003"},{"issue":"1","key":"e_1_3_2_12_2","first-page":"1","article-title":"[Laparoscopic supracervical hysterectomy versus laparoscopic total hysterectomy: a prospective randomized study]","volume":"59","author":"Morelli M","year":"2007","unstructured":"Morelli M, Noia R, Chiodo D, et al. [Laparoscopic supracervical hysterectomy versus laparoscopic total hysterectomy: a prospective randomized study]. Minerva Ginecol 2007; 59(1): 1\u201310.","journal-title":"Minerva Ginecol"},{"key":"e_1_3_2_13_2","unstructured":"Di Spiezio Sardo A. See & treat hysteroscopy in clinical practice. Doctoral Dissertation University of Naples Federico II. http:\/\/www.fedoa.unina.it\/3362\/1\/TESI_DOTTORATO_DI_SPIEZIO_SARDO.pdf (2008 accessed 8 December 2023)."},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2008.09.615"},{"key":"e_1_3_2_15_2","first-page":"335","volume-title":"Wheater\u2019s functional histology","author":"Burkitt HG","year":"1993","unstructured":"Burkitt HG, Young B, Heath JW. The female genital organs. In: Wheater\u2019s functional histology. Longman Group UK Limited, 1993, pp.335\u2013365."}],"container-title":["Sage Open Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2050313X251407045","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/2050313X251407045","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2050313X251407045","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,25]],"date-time":"2026-01-25T20:30:31Z","timestamp":1769373031000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/2050313X251407045"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12]]},"references-count":14,"alternative-id":["10.1177\/2050313X251407045"],"URL":"https:\/\/doi.org\/10.1177\/2050313x251407045","relation":{},"ISSN":["2050-313X","2050-313X"],"issn-type":[{"value":"2050-313X","type":"print"},{"value":"2050-313X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12]]},"article-number":"2050313X251407045"}}