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What is Colposcopy?
Colposcopy is the process done if there are abnormal determination in cervical screening . Colposcopy is a dewy-eyed routine to examine the inside of vagina , cervix uteri , and vulva for any signs of the disease using an instrument called colposcope . This was first trace by Hans Hinselman of Germany in 1925 .
Indications for Colposcopy1:
Benefits of Colposcopy:
Precautions:
Principles of Colposcopy:
Saline Technique:
This is used to study the vessels more clearly and this has to be applied before app of acetic pane .
Acetic Acid Test
This facilitate in coagulating and clearing the mucus . This avail in differentiation of unnatural cytology .
Lugol’s Iodine Test
Iodine is glycophillic and is take up by ripe squamous metaplastic epithelial tissue and not by the cancerous cell . The routine use of Lugol ’s Iodine is recommended as it may avail in diagnose miss out lesion during examination .
Procedure: How is Colposcopy Done?
subprogram of colposcopy is excuse to the patient and the doubtfulness of the patient are clear , and an informed consent is find . Relevant medical account and maternity history is obtain . Patient is examined by manual interrogation before colposcopy .
During the colposcopy procedure , the subject lies down in lithotomy position . The doctor insert a vaginal speculum to deem the vagina in piazza and get a clear view of cervix . The uterine cervix is examine using low power of the colposcope . The abnormal cytology is check ( if any ) and culture or PAP smear is obtained ( if necessary for confirmatory diagnosis ) . The colposcopy procedure is then stay on with lotion of saline , 5 % acetic Zen and Lugol ’s Iodine in the same order to the cervix to find abnormal cytology .
The cervix is scan with the spark from colposcope , moving from dispirited magnification to higher magnifications . The examination findings are note down , during the colposcopy process . The cervical biopsy or endocervical curettage is perform ( if necessary ) . Cervical biopsy is ordinarily painless , but sometimes cramping may be have by the patient while performing cervical biopsy . Vaginal biopsy is usually done using a local anesthetic agent to annul any pain sensations .
The imperativeness is applied to the phlebotomize site to discontinue bleeding ( if biopsy is perform ) . The speculum inserted is transfer and checked for run sites , and vaginal wall , vulva , vagina , cervix uteri , perineum and perianal areas are inspect .
The patient is observed until she is fully recuperate and then discharged . Colposcopy procedure take around 5 - 10 minutes to complete . The finding see to it during colposcopy are discussed with the patient along with follow - up details.2
Post-Colposcopy Procedure Instructions to the Patient
Complications of Colposcopy
The complicatedness are minimal but the below mentioned are rarefied complications of Colposcopy subprogram :
If any of the above complications are seen following colposcopy , meet your doctor immediately for further evaluation .
References
