Fabric-based exocervical and endocervical biopsy in comparison with punch biopsy and sharp curettage.

Abstract:

OBJECTIVES:Fabric-based endocervical and exocervical biopsy tools were compared with exocervical punch biopsy and sharp endocervical curettage. We compared the level of pain reported by the patient and the amount of bleeding rated by the physician relative to the type of biopsy used. MATERIALS AND METHODS:This was a 2-center institutional review board-approved study of patients undergoing colposcopy. One center randomized patients to undergo either conventional (punch biopsy, sharp endocervical curettage) or fabric-based biopsy of the endocervix and exocervix, and a second center enrolled nonrandomized controls. The patient and physician subjectively rated bleeding (exocervical) and pain (endocervical and exocervical) from the biopsy procedure(s), which were compared using the nonparametric Wilcoxon test. RESULTS:Exocervical and endocervical biopsies from 55 patients were compared. Fabric-based biopsies were abundant full-thickness curettage and showed statistically significant less pain and bleeding than the conventional biopsy methods (p < .0001). CONCLUSIONS:Fabric-based biopsies are significantly less traumatic than conventional biopsies. The benefits of a less-invasive biopsy could increase the willingness to perform multiple biopsies, increase disease detection, and improve patient satisfaction, which could impact future gynecologic health-seeking behavior and compliance with colposcopy recall.

journal_name

J Low Genit Tract Dis

authors

Winter M,Cestero RM,Burg A,Felix JC,Han C,Raffo AM,Vasilev S

doi

10.1097/LGT.0b013e318234262d

subject

Has Abstract

pub_date

2012-04-01 00:00:00

pages

80-7

issue

2

eissn

1089-2591

issn

1526-0976

pii

00128360-201204000-00002

journal_volume

16

pub_type

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