Colposcopy

Colposcopy
In this diagram, the canal of the cervix (or endocervix) is circled at the base of the womb. The vaginal portion of the cervix projects free into the vagina. The transformation zone, at the opening of the cervix into the vagina, is the area where most abnormal cell changes occur
Specialtygynaecology
ICD-9-CM67
MeSHD003127
OPS-301 code1-671

Colposcopy (Ancient Greek: κόλπος, romanizedkolpos, lit.'hollow, womb, vagina' + skopos 'look at') is a medical diagnostic procedure to visually examine the cervix as well as the vagina and vulva using a colposcope.[1]

The main goal of colposcopy is to prevent cervical cancer by detecting and treating precancerous lesions early. Human Papillomavirus (HPV) is a common infection and the underlying cause for most cervical cancers. Smoking also makes developing cervical abnormalities more likely.

Other reasons for a patient to have a colposcopy include assessment of diethylstilbestrol (DES) exposure in utero, immunosuppression, abnormal appearance of the cervix or as a part of a sexual assault forensic examination.

Colposcopy is done using a colposcope, which provides a magnified and illuminated view of the areas, allowing the colposcopist to visually distinguish normal from abnormal appearing tissue, such as damaged or abnormal changes in the tissue (lesions), and take directed biopsies for further pathological examination if needed.

The procedure was developed by the German physician Hans Hinselmann, with help from Eduard Wirths.[2][3] The development of colposcopy involved experimentation on Jewish inmates from Auschwitz.[4]

  1. ^ Chase DM, Kalouyan M, DiSaia PJ (May 2009). "Colposcopy to evaluate abnormal cervical cytology in 2008". Am. J. Obstet. Gynecol. 200 (5): 472–80. doi:10.1016/j.ajog.2008.12.025. PMID 19375565.
  2. ^ "The Deadly Origins Of A Life-saving Procedure – Forward.com". 27 January 2007. Retrieved 2010-01-22.
  3. ^ Baggish, Michael S. (11 April 2018). Colposcopy of the Cervix, Vagina, and Vulva: A Comprehensive Textbook. Mosby. ISBN 9780323018593. Retrieved 11 April 2018 – via Google Books.
  4. ^ Halioua, Bruno (2010). "The Participation of Hans Hinselman in Medical Experiments at Auschwitz". Journal of Lower Genital Tract Disease. 14 (1): 1–4. doi:10.1097/LGT.0b013e3181af30ef. PMID 20040829. S2CID 188116.