COLD COAGULATION

Presenter:
Dr Prakash Thakulla
District Hospital Doti
Objectives
• At the end of the presentation we will know about:
• Indications and Eligibility criteria
• Counselling tips
• Procedure steps
• Complications and warning signs
• Advantages and disadvantages over cryotherapy
Indications
• All VIA positive cases meeting the eligibility criteria and client willing
to take the service
Eligibility Criteria
• Lesion occupies <75% of TZ
• All of the lesion can be seen
• The lesion is not suspicious for cancer
• There are no polyp or scarring
• Non-pregnant
• Currently no severe infection of vagina or cervix
 Counselling Tips

• Pre-cancer can become cancer if not treated

• You may feel some abdominal cramps or low back pain
• Watery discharge from vagina is normal till 4 weeks after the
procedure
• A blood spotting and mild discomfort is also normal
• For 4 weeks better not to have sexual intercourse
• Don’t try to clean or put an object in vagina
• You must return for follow up exam
Procedure Steps
Step 1: Check Criteria
Step 2: Prepare for the procedure
Step 3: Heat the lesion
Step 4: Finish the exam and thank the client
 • Ensure the lesion meet all

CRITERIA
PREPARE
eligibility criteria
FINISH

HEAT

• Consent taken
• Bladder empty
 • Turn on cold coagulator

PREPARE
• Set temperature to 100
FINISH

CHECK
HEAT

degree C
• Wait 45 sec to probe to heat
 • Apply probe to lesion for

PREPARE

CRITERIA
FINISH

exactly 45 seconds

HEAT
• Don’t touch other tissue
except cervix
• Provider can apply probe to
the cervix upto 5 times
 • Remind the client about

CRITERIA
PREPARE
FINISH
post-procedure instructions

HEAT
• Thanks your client
 Complications
• Patient may:
• Experience mild cramp
• Feel faint
• Bleed slightly
• Whitish or blood stained discharge
Warning Signs
Warning Signs

• Foul smelling PV discharge

• Heavy bleeding
• Fever with chills
• Severe lower abdominal pain
 Cold coagulation Vs Cryotherapy

Advantages Disadvantages
• Easy handling, portable and • Expensive
easily transportable • Needs electricity
• No problem with gas leaking
• No need of sterilization
• Easily used in stenosed vagina
without touching it
Queries??? Feedback…
Thank You!!!