Results of fİve year-follow up of patients treated with loop electrosurgical excisional procedure / cold-knife conization

Aim: Aim is to questioning the recurrence rate of Human Papilloma Virus (HPV) and cervical pathology after five year- follow up of patients treated with Loop Electosurgical Excisional Procedure (LEEP)/Cold-Knife Conization. Due to cervical intraepithelial neoplasia so as to determine the competence of the surgical procedures. Materials and Methods: Retrospective analysis of 87 patients who attended between January 2011-December 2015, aged between 24-74 years, with the result of CIN I - II - III in their Pap smear tests, were included in. Demographic findings; age, parity, smoking, menopausal statue were recorded. The patients treated with LEEP/Cold-Knife Conization due to CIN I - II - III, were followed by co-test till 2020 and 5 year results were evaluated. Results: 87 patients were analyzed and the mean age of them was 35.1±1.71 (24-74). Parity 2.4±1.2 (0-11) and mean smoking was found to be 8 cigarettes/day (0-40/day). 67(77%) of cases were in premenapouse, 20 (23%) of them were in postmenapousal period. According to the colposcopy assisted cervical biyopsy results 45 (51.7%) cases were diagnosed as CIN I, 21 (24.1%) CIN II and rest 21 (24.1%) cases were found to be CIN III. Secondary surgery was needed due to positive surgical margin was recorded in 6 (6.8%) patients after LEEP. Routine annual follow-up was done. No abnormal cytologic Pap-smear result was recorded during these follow-ups. At the end of the 5 year follow-up; no reccurence was obtained from the co-test results. Conclusions: Our results put forth that HPV and cervical pathology could be eradicated after five year- follow up of patients treated with LEEP/Cold-Knife Conization if appropriate indications and techniques are applied