M. Healey et al., POSTOPERATIVE SYMPTOMS FOLLOWING LLETZ OR RADICAL CERVICAL DIATHERMY WITH FULGARATION - A RANDOMIZED DOUBLE-BLINDED PROSPECTIVE-STUDY, Australian and New Zealand Journal of Obstetrics and Gynaecology, 36(2), 1996, pp. 179-181
Fifty-five patients were randomized in a double-blinded manner to larg
e loop excision of the transformation zone (LLETZ) (29 patients) or ra
dical cervical diathermy with fulgaration (RCDF) (26 patients) for tre
atment of cervical intraepithelial neoplasia (GIN). Patients completed
a 2-month diary of symptoms and completed a 10-week postoperative que
stionnaire. White vaginal discharge lasted 7.3 (4.6) days (SD) for RCD
F compared to 3.4 (1.6) days (SD) for LLETZ. There was no significant
difference in any other symptoms on analysis This appears to be the fi
rst report clearly assessing the length and severity of postoperative
symptoms following LLETZ or RCDF. There is no reason on length and sev
erity of postoperative symptoms to choose 1 of these 2 treatment metho
ds over the other.