ReviewArchives of gynecology and obstetrics2024
Uterine cervical stenosis: from classification to advances in management. Overcoming the obstacles to access the uterine cavity.
Review in Archives of gynecology and obstetrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The overtreatment rate, medical cost and psychological affection of see-and-treat versus three-step approaches in the treatment of cervical intraepithelial neoplasia: a systematic review and meta-analysis.BMC women's health · 2025Pooled it
- Comparison of Ciprofol-Based and Propofol-Based Total Intravenous Anesthesia on Postoperative Recovery Quality in Patients Undergoing Hysteroscopic Surgery: A Randomized Non-Inferiority Trial.Drug design, development and therapy · 2025Trial
- Paracervical block in office hysteroscopy with vaginoscopic approach to reduce patients' pain perception: a propensity score matching analysis.Annals of medicine · 2026Observational
- Clinical Factors Associated with Pain During Outpatient Hysteroscopy in a Standardized Vaginoscopic Setting: A Prospective Observational Study.Journal of clinical medicine · 2026Article
- First documented case of cervical stenosis resulting in pyometra and fallopian tube torsion.BMC women's health · 2026Article
- Patient and Procedural Factors Associated With Insufficient Office Endometrial Biopsy.O&G open · 2025Article
- Clinical value of D-dimer combined with transvaginal ultrasonography in the postmenopausal population with endometrial carcinoma.Scientific reports · 2025Article
- Approach to abnormal uterine bleeding in presence of endometrial polyps with new hysteroscopic devices.Archives of gynecology and obstetrics · 2025Article
- Overcoming Cervical Stenosis: A Case Study of Transmyometrial Embryo Transfer in Infertility Treatment.Journal of pharmacy & bioallied sciences · 2025Article
- Addressing Cervical Stenosis and Uterine Fibroids in IVF: A Case Study on the Effectiveness of TMET.Journal of pharmacy & bioallied sciences · 2025Article
- Efficacy of Hyoscine N-butyl Bromide on Cervical Dilatation Prior to Hysteroscopy Procedure: An Open-Label Randomized Controlled Trial.International journal of fertility & sterility · 2025Article
- Diagnostic Accuracy of Artificial Intelligence vs. Oncologist Interpretation in Digital Cervicography for Abnormal Cervical Cytology.Journal of clinical medicine · 2025Article
- Sonographic evaluation of retained products of conception within 48 h following delivery: a retrospective cohort study.Archives of gynecology and obstetrics · 2025Article
- Relationship between endometriosis and uterine cervical elasticity assessed using ultrasound strain elastography.Ultrasonography (Seoul, Korea) · 2024Article
- Diagnostic cervical excision in patients with HPV positivity, cytological abnormalities- and preoperative cervical stenosis.BMC women's health · 2024Article
- Article
- Surgical Management of Cervical Canal Stenosis with Clinical Tuberculosis Using Foley's Catheter Stent: A Case Report.Gynecology and minimally invasive therapyArticle
- Safety and effectiveness of office hysteroscopic metroplasty with and without uterine stent placement in infertile population: a 10-year retrospective study.Therapeutic advances in reproductive healthArticle
- A New Intrauterine Adhesions Classification System: The "Loddo Score".Gynecology and minimally invasive therapyReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTo date hysteroscopy is the gold standard technique for the evaluation and management of intrauterine pathologies. The cervical canal represents the access route to the uterine cavity. The presence of cervical stenosis often makes entry into the uterine cavity difficult and occasionally impossible. Cervical stenosis has a multifactorial etiology. It is the result of adhesion processes that can lead to the narrowing or total obliteration of the cervical canal. PURPOSE: In this review, we summarize the scientific evidence about cervical stenosis, aiming to identify the best strategy to overcome this challenging condition.
methodsThe literature review followed the scale for the quality assessment of narrative review articles (SANRA). All articles describing the hysteroscopic management of cervical stenosis were considered eligible. Only original papers that reported data on the topic were included.
resultsVarious strategies have been proposed to address cervical stenosis, including surgical and non-surgical methods. Medical treatments such as the preprocedural use of cervical-ripening agents or osmotic dilators have been explored. Surgical options include the use of cervical dilators and hysteroscopic treatments.
conclusionsCervical stenosis can present challenges in achieving successful intrauterine procedures. Operative hysteroscopy has been shown to have the highest success rate, particularly in cases of severe cervical stenosis, and is currently considered the gold standard for managing this condition. Despite the availability of miniaturized instruments that have made the management of cervical stenosis more feasible, it remains a complex task, even for experienced hysteroscopists.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.