- Research Article
- 10.26442/20795696.2026.1.203600
Cervical stenosis and regenerative technologies in rehabilitation treatment programs. A prospective study
- Mar 10, 2026
- GYNECOLOGY
- Liana S Mkrtchian + 6 more +6
Background. Cervical stenosis (CS) is a result of the cervical canal scarring, which leads to its narrowing or complete occlusion with obliteration of the external os. Currently, the treatment of cervical stenosis and stricture is not standardized in clinical practice, and this issue is also not addressed in Russian and international clinical guidelines. Since cervical cancer is an important obstetric-gynecological and oncological problem, it requires the search for adequate therapies available in outpatient settings. Promising are biomedical agents derived from collagen-containing gels – extracellular matrix biomimetics used in tissue engineering and regenerative medicine. Recent research shows they can model cell differentiation. Aim. To evaluate the effectiveness of extracellular matrix biomimetics, a heterogeneous implantable gel formulation, Sphero®GEL, produced in Russia, for the treatment of CS of various origins. Materials and methods. The study included 15 patients with CS and a mean age of 40.5 ± 11.9 years. Most patients (73.3%) had cervical intraepithelial neoplasias of varying severity, for which cervical conization was performed. Due to the stricture of the cervical canal, 12/12 (100%) of patients of reproductive age had dysmenorrhea symptoms; the mean pain severity according to the Visual Analog Scale was 4.38 ± 2.29. All patients received two 2.0 mL intracervical injections of the drug with an interval of 28 days. Method of use for Sphero®GEL MEDIUM: punctual injections of 0.5 mL in the cervix stroma at a depth of 3 mm pointwise along the circumference of the external os at 3, 6, 9, 12 o’clock positions and 1.5 mL multipositionally along the entire circumference and length of the cervical canal at a depth of 25 mm at 3, 6, 9, 12 o’clock positions. Two injections were performed with an interval of 28 days; the mean interval was 31.1 ± 5.8 days. The median follow-up of patients was 8 months. Results. After 3 months of treatment, the cervical canal patency was restored in 10/15 (66.7%) patients (the mean Hegar’s diameter was 3.67 ± 1.37 mm); after 6 months, it was restored in 14/15 (93.3%) patients (the mean diameter was 4.78 ± 0.85 mm). The mean pain severity on the Visual Analog Scale at 6 months was 0.91 ± 1.59, which was statistically significantly lower than before treatment (p = 0.005). No adverse events were reported during the treatment. High treatment adherence was observed: 4 points on the Morisky–Green scale in 14/15 (93.3%), while the prolonged interval between doses (31.1 ± 5.8 days instead of 28 days) was not statistically significant (p 0.05) and was due to the onset of the menstrual period. Conclusion. Intracervical injections of a heterogeneous, implantable gel formulation, Sphero®GEL, are an effective method of non-surgical treatment for CS of various origins.
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