Cryocautery Of The Vulva

CRYOCAUTERY OF THE VULVA REASON FOR VISIT: • Pain while intercourse • Chronic vaginal discharge • An abnormal pap smear • Warts RISK ASSESSMENT • Pregnancy • Menstrual period time ANESTHESIA: None PREPARATION OF THE PATIENT: • Pap smear • Pregnancy test • Colposcopy • Douching was stopped 24 hrs before procedure • Tampons were avoided for 24 hrs before procedure • Intercourse was avoided for 24 hrs before procedure • Vaginal medication was stopped 24 hrs before procedure • Pain medication was taken 2 hrs before procedure POSITION OF THE PATIENT: Pap and pelvic position

THE PROCEDURE • The cryo probe was selected and attached to the machine. • The probe was applied to the area of wart and then begins the freeze. • The wart and probe promptly freeze together, and an ice ball was formed • The freeze was completed for ____ minutes. • The vulva was allowed to thaw for several minutes • The freeze was repeated • The probe was removed FINDINGS: Warts was removed successfully DURATION _____min POSTOPERATIVE CARE • Use Amino Cerv Crème • Take pain medication as prescribed • Take antibiotics as prescribed • Stop douching for 2 weeks • Stop using tampon for 2 weeks • Stop intercourse for 2 weeks COMPLICATIONS • Scarring • Infection