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The loop electrosurgical excision procedure (LEEP) is one of the most commonly used approaches to treat high grade cervical dysplasia (CIN II/III, HGSIL) and early stage cervical cancer discovered on colposcopic examination. In the UK, it is known as large loop excision of the transformation zone (LLETZ).
Cervical conization refers to an excision of a cone-shaped portion of tissue from the mucous membrane of the cervix. Conization is used for diagnostic purposes as part of a biopsy and for therapeutic purposes to remove pre-cancerous cells ( cervical intraepithelial neoplasia ) or early stage cervical cancer .
Endocervical curettage is a medical procedure used to extract cells of the endocervix to visualize under a microscope. Direct cervical visualization, colposcopy, and even endocervical colposcopy are not enough to fully analyze all areas of the endocervical epithelium and thus endocervical curettage is the method of choice in cases where this is necessary.
Cervical stenosis may be present from birth or may be caused by other factors: Surgical procedures performed on the cervix such as colposcopy, cone biopsy, or a cryosurgery procedure [3] Trauma to the cervix [3] Repeated vaginal infections [3] Atrophy of the cervix after menopause [3] Cervical cancer [1] Radiation [1] Cervical nabothian cysts
In England, the NHS cervical screening programme is available to women aged 25 to 64; women aged 25 to 49 receive an invitation every 3 years and women aged 50 to 64 receive an invitation every 5 years to undergo HPV testing. [15] [16] If there is a positive HPV test result, then patients undergo further cytology (Pap smear). [15]
Of all women with HSIL results, 2% [8] or less [9] have invasive cervical cancer at that time, however about 20% would progress to having invasive cervical cancer without treatment. [ 10 ] [ needs update ] To combat this progression, HSIL is usually followed by an immediate colposcopy with biopsy to sample or remove the dysplastic tissue.
The procedure is fully described to the patient. In some cases a pregnancy test may be performed before the procedure and the patient then signs a consent form. [citation needed] Colposcopy is performed with the woman lying back, legs in stirrups, and buttocks at the lower edge of the table (a position known as the dorsal lithotomy position).
Punch biopsy forceps - Used in Premalignant lesions of the cervix. Its provides a specimen. Uterine dressing forceps: FemCerv Endocervical Sampler: The FDA cleared disposable FemCerv endocervical Sampler can be used to biopsy the endocervical canal during colposcopyor the evaluation of abnormal uterine bleeding. FemCerv is intended to collect a ...