What is Colposcopy?
Colposcopy is an examination of the cervix vagina and vulva tissues by enlarging 30-40 times with a magnifying glass or microscope.
Who is colposcopy done?
In abnormal Pap smear cases (ascus, lgsıl, hgsıl)-Genital warts (HPV, Kondilom)-in women with persistent infections in recurrent smear tests-gynecological examination of the cervix, vagina or vulva in a visibly In case of abnormal lesions-pain-is done in non-cause bleeding.
Colposcopy to give accurate results
It’s done in a period without bleeding. Vaginal cleaning (shower) has not been sexually involved in the last 24 hours. Vaginal tampons and medication should not be used
How to make colposcopy?
The patient is made of lithotomy position on the gynecological table. A tool called speculum is applied to ensure that the case is well-observed. 3-5% acetic acid is applied to these areas in order to be able to see abnormalities in the cervix and Vagen. The Doctor then examines the cervix by enlarging it with the help of the colposcope. In order to make the Colposcopic examination accurate and complete, the cell transformation zone, where the CA and the CSIs are formed, and the whole lesion must be visible.
Endocervical speculum can be used to better view the cervix canal in patients who have never had vaginal delivery or have been reduced to servixi due to menopause. Colposcopy and biopsy is a painless procedure that does not require anesthesia.
What are the abnormal findings of colposcopic?
Non-Normal tissues are seen as white after 3-5% acetic acid solution applied. These areas are referred to as Aseto-white (Aseto) fields and biopsy is taken from here. The cervix also has an increase in vasectomy. Biopsy should be taken if there is an increase in vasation. In some cases, the cervix surface can also be examined by driving “Lugol solution (iodine inhalation)”. After the Lupol solution, cervical biopsy can be performed from places that do not hold paint (Lugol negative) and may be diagnosed with certainty.
During Colposcopy, the Endocervical region can be carved with a tool called “Curetto” to assess the cell. This process is called endocervical curettage (ECC).
Cases to be considered after colposcopic and cervical biopsy
After colposcopy, patients can return to their daily lives immediately. They don’t need to rest at home. A few days of mild bleeding and coffee can be colourless currents. Until these troubles pass, you can find 15 days of this time, not to be in a relationship, vaginal tampons and shower should not be used. You should consult your physician if there are many complaints such as vaginal bleeding, excessive inguinal pain, fever.
Procedures such as regular smear follow or LEEP conization can be applied in cases with pathological examinations.
What is Conization?
The process of removing the cervix in a conical form is called conization. In Colposcopic examination, if the boundaries of the suspected lesion are spreading into the uterine canal, or if the endocervical curettage (ECC) is pathologically performed, the Pap smear probes should be performed as pathologically. The conization can be performed by local or general anesthesia.