Conization is a surgical procedure in which the altered part of the cervix is removed following confirmed changes on biopsy after an abnormal Pap result (e.g., CIN 2, CIN 3, HSIL). At Polyclinic Cito the procedure is performed under controlled conditions, with anesthesiologist supervision and a clearly agreed follow-up plan.
Conisation is a gynaecological procedure that surgically removes the cone-shaped part of the cervix in which cell changes have been detected. The procedure is most often performed after an abnormal Pap result and confirmed changes such as CIN 2, CIN 3 or HSIL, in order to prevent the development of more serious lesions and cervical cancer.
During the procedure the doctor precisely removes the altered tissue, while striving to preserve as much of the healthy part of the cervix as possible. In this way a single act achieves both the diagnostic (histopathological analysis) and the therapeutic value of the procedure.
Conisation is recommended when the findings point to high-grade changes on the cervix, especially after repeated abnormal Pap results and colposcopy. The decision about the procedure is made individually, taking into account the patient's age, the findings, pregnancy planning and other risk factors.
The expected results and further recommendations depend on the final histopathological findings. Once the findings are ready, the gynaecologist goes through all the steps with you - whether only regular monitoring, further tests or possibly additional procedures are needed. The most common situations in which we recommend conisation:
Conisation makes it possible to remove exactly the part of the cervix where the changes were detected, while preserving as much healthy tissue as possible.
The removed tissue is sent for histopathological analysis, so that the same procedure provides an accurate diagnosis and removes the cause of the changes.
The procedure is most often performed as part of the day hospital, under the supervision of an anaesthetist. You usually go home the same day, with clear instructions for recovery and further follow-ups.
Brief administrative processing, a conversation with the gynaecologist and anaesthetist, a review of previous findings (Pap, colposcopy, biopsy) and current therapy.
The procedure is most often performed under brief general anaesthesia or local anaesthesia, so that you do not feel pain. After the operating field is prepared, the cervix is accessed.
Using special instruments, the doctor removes the cone-shaped part of the cervix containing the changes. The removed tissue is labelled and sent for histopathological analysis.
After the procedure you rest in the day hospital under the supervision of staff. Before discharge you receive a written report, instructions for recovery and information on when to expect the histopathological findings and a follow-up examination.
You will receive detailed preparation instructions when the procedure is arranged, and they are tailored to your general state of health and the therapy you take. As a rule the procedure is planned for a particular phase of the cycle, and the recommendations may include temporarily adjusting certain medicines. Preparation includes:
Note: You will receive precise instructions about eating, drinking and medicines before the procedure from our team.
Most patients feel well within a few hours of the procedure and go home the same day. Recovery is individual, but a few days of mild discomfort or scant bleeding/discharge is usual.
Classic conisation:
LLETZ (LEEP):
Regardless of the chosen method, the goal is the same - to safely remove the altered tissue and reduce the risk of developing cervical cancer, with as little impact as possible on the function of the cervix. Based on the Pap and HPV results, colposcopy, the extent of the lesion, the patient's age and pregnancy planning, the gynaecologist will assess for each individual case which method is the safest and most appropriate approach for you
Conisation requires the coordinated work of gynaecologists, anaesthetists and a well-organised day hospital. At Cito Polyclinic you have all these steps in one place, with clear guidance through the whole process - from the first examination to the follow-up findings.
Specialists in gynaecology and obstetrics with experience in diagnosing and treating changes of the cervix and in working with patients after abnormal Pap results.
Every procedure is accompanied by an anaesthetic team with modern monitoring, and recovery takes place in the calm environment of the day hospital with expert staff.
The use of advanced diagnostic methods and cooperation with histopathologists allow precise analysis of the removed tissue and clear planning of the next steps.
An organised process without unnecessary waiting, with written and verbal instructions, and the option of additional consultations after the findings are received.
The price of the procedure at Cito Polyclinic is 700-900 EUR depending on whether a classic conisation or LLETZ is required, and includes the surgical procedure in controlled conditions, anaesthetic monitoring and histopathological analysis of the removed tissue.
Before the procedure, a gynaecological examination and the necessary diagnostic work-up are carried out, which are charged separately, depending on the findings and individual indication.
You can get the exact price of the procedure for your case and the first available appointment straight away by phone on +385 21 457 800 or by sending a short message via the contact form.
Specialist in Gynecology and Obstetrics
Subspecialist in Gynecological Endocrinology and Human Reproduction
Specialist in Gynecology and Obstetrics
Subspecialist in Gynecological Endocrinology and Human Reproduction
Specialist in Gynecology and Obstetrics
Subspecialist in Gynecological Endocrinology and Human Reproduction
Specialist in Gynecology and Obstetrics
Specialist in Gynecology and Obstetrics
Find answers to common questions about this service
It is recommended for confirmed CIN2/3 dysplasia or suspicion of microinvasion. The conical part of the cervix containing the lesion is removed for therapeutic and diagnostic purposes.
The procedure is performed by LEEP/LLETZ or with a cold knife, under local or general anesthesia. Recovery takes 2–4 weeks with avoidance of strain and sexual intercourse.
Bleeding, infection, cervical canal stenosis and, in rare cases, an increased risk of preterm birth due to cervical insufficiency.
Most pregnancies progress normally; for more extensive procedures, cervical cerclage and intensified pregnancy monitoring are considered.
