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A carbon dioxide (CO2) laser beam is used to:
Laser vaporization takes 10 to 15 minutes. The abnormal tissue is destroyed or removed, leaving normal tissue intact.
Carbon dioxide laser surgery can be done in your doctor's office, a clinic, or a hospital as an outpatient procedure. You do not have to spend the night in the hospital.
You will need to take off your clothes below the waist and drape a paper or cloth covering around your waist. You will then lie on your back on an exam table with your feet raised and supported by footrests (stirrups). Your doctor will insert a lubricated tool called a speculum into your vagina. The speculum gently spreads apart the vaginal walls, allowing the inside of the vagina and the cervix to be examined.
The procedure is usually done with a numbing medicine injected into the cervix (cervical block). If a cervical block is used, an oral pain medicine may be used along with the local anesthetic.
Most women are able to return to normal activity within 2 to 3 days after surgery. Recovery time will depend on how much was done during the procedure.
If you have carbon dioxide laser surgery, you need regular follow-up Pap tests. You should have a Pap test in 4 to 6 months or as often as recommended by your doctor. After several Pap test results are normal, you and your doctor can decide how often to schedule future Pap tests.
Call your doctor for any of these symptoms:
Carbon dioxide laser surgery is done when:
Carbon dioxide laser surgery works well for destroying abnormal cervical tissue, depending on the size, depth, and type of abnormal tissue. Studies have had differing results. They show that carbon dioxide laser surgery destroys all of the abnormal tissue in 77 to 98 out of 100 cases.footnote 1 And when this surgery is used to remove a wedge of abnormal tissue, it is successful in about 93 to 97 out of 100 cases.footnote 1
Carbon dioxide laser surgery is able to destroy or remove abnormal tissue that is too high in the cervix to be destroyed with cryosurgery.
A carbon dioxide laser can be used to perform a cone biopsy (conization), but is not used as frequently as other conization methods because:
Garcia F, et al. (2012). Intraepithelial diseases of the cervix, vagina, and vulva. In JS Berek, ed., Berek and Novak's Gynecology, 15th ed., pp. 574-618. Philadelphia: Lippincott Williams and Wilkins.
ByHealthwise StaffPrimary Medical ReviewerSarah A. Marshall, MD - Family MedicineKathleen Romito, MD - Family MedicineMartin J. Gabica, MD - Family MedicineKevin C. Kiley, MD - Obstetrics and Gynecology
Current as ofMarch 28, 2018
Current as of:
March 28, 2018
Sarah A. Marshall, MD - Family Medicine
& Kathleen Romito, MD - Family Medicine & Martin J. Gabica, MD - Family Medicine & Kevin C. Kiley, MD - Obstetrics and Gynecology
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