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COLPOSCOPY

REASON FOR VISIT:

• Infection
• Warts
• Cervical cancer
• Vaginal infection
• Abnormal Pap smear
• Follow up
• Abnormal cervical cytology
• High-grade cervical intraepithelial neoplasia (CIN 2 and CIN 3)
• Invasive squamous cell cervical cancer
• Adenocarcinoma
• Low-grade cervical intraepithelial neoplasia (CIN 1)
• Assessment of diethylstilbestrol (DES) exposure in utero

RISK ASSESSMENT

• Bleeding disorders
• Allergy to medication/anesthesia

PREPARATION OF THE PATIENT:

• Pregnancy test
• Pap smear
• Douching was avoided for 24 hours before the exam
• Sexual intercourse was avoided for 24 hours before the exam.
• Vaginal medication was stopped for 24 hours before the exam.
• Usage tampons were stopped for 24 hours before the exam.
• Blood thinning medication was stopped

ANESTHESIA:

• Local anesthesia
• Cervical block

POSITION OF THE PATIENT:


Dorsal lithotomy position

THE PROCEDURE

• The vaginal speculum was inserted


• Blades are widely separated and inspected the vagina and cervix
• The cervix was exposed and findings were noted
• Excess mucus removed gently from the cervix with saline-soaked
cotton swabs.
• A cervical cytology smear was obtained
• Specimens for laboratory examination was obtained
• The cervix was inspected at low-power magnification (5x to 10x)
• Normal saline was applied to the cervix with a sprayer/ cotton balls
and excess liquid was removed
• The blood vessels was examined
• The distal and proximal borders of the transformation zone was
identified and examined
• 3-5% dilute glacial acetic acid was liberally applied to the cervix
with a cotton-tipped swab/ cotton balls/ using a 2 x 2 inches gauze/
with a sprayer
• The cervix was wiped with a cotton ball /other large applicator toi
assists in the coagulation and removal of mucus
• Cervix was examined
• Lugol’s iodine solution was applied and cervix was examined
• With using the biopsy forceps tissue samples were obtained
• The biopsy site(s) was cauterized with Monsel’s paste /with a silver
nitrate stick immediately after the procedure to cosntrol any
bleeding.
• Endocervical curettage was performed
• Vaginal walls, vulva, perineum, and perianal areas inspected

FINDINGS:

• Normal findings noted


• Cervical intraepithelial neoplasia (CIN)
• Vaginal intraepithelial neoplasia (VAIN)
• Vulvar intraepithelial neoplasia (VIN)
• Anal intraepithelial neoplasia (AIN)
• Penile intraepithelial neoplasia (PIN)
• Ectropion/ polyp/ nabothian follicles/ congenital transformation
zone/ atrophy/ inflammation /infection/ leukoplakia
(hyperkeratosis)/condylomata/ ulcer/ growth were noted

AFTER PROCEDURE:

Specimens were sent for the histopathalogical study

DURATION

_______min/hrs

POSTOPERATIVE CARE

• Don't use tampons


• Don’t put anything in vagina for at least 1 week after the
procedure
• Don't have sexual intercourse for at least 1 week.

COMPLICATIONS

• Bleeding
• Infection at the biopsy site
• Endometrial infection