Effects of gel lubricant on cervical cytology

Objective: To determine whether the use of lubricating gel during vaginal speculum examination affected cytologic interpretation in the conventional Pap smear. Study Design: Two consecutive cervical smears were obtained from 1,334 patients undergoing Pap smear screening. The first smear (uncontamina...

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Main Authors: Kittipat Charoenkwan, Kanchana Nimmanahaeminda, Surapan Khunamornpong, Jatupol Srisomboon, Paul S. Thorner
Format: Journal
Published: 2018
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http://cmuir.cmu.ac.th/jspui/handle/6653943832/60694
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Institution: Chiang Mai University
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spelling th-cmuir.6653943832-606942018-09-10T03:47:24Z Effects of gel lubricant on cervical cytology Kittipat Charoenkwan Kanchana Nimmanahaeminda Surapan Khunamornpong Jatupol Srisomboon Paul S. Thorner Medicine Objective: To determine whether the use of lubricating gel during vaginal speculum examination affected cytologic interpretation in the conventional Pap smear. Study Design: Two consecutive cervical smears were obtained from 1,334 patients undergoing Pap smear screening. The first smear (uncontaminated) was obtained using the routine collection technique. The second smear (gel-contaminated) was taken after applying a 1- to 1.5-cm ribbon of lubricating gel onto the external cervical os. Adequacy of Pap smear and discordance in diagnosis between the paired smears were examined. Results: The proportion of unsatisfactory smears was significantly higher in the gel-contaminated smears, 12.1% vs. 1.7% (p < 0.01). This difference was consistent across all reproductive groups. For patients who had smears satisfactoiy for cytologic evaluation, the discordance in cytologic diagnosis between the gel-contaminated and uncontaminated smears from the same patient was 0.3%. Conclusion: Lubricating gel contamination of the cervix can adversely affect adequacy and cytologic diagnosis in the conventional Pap smear. © The International Academy of Cytology. 2018-09-10T03:47:24Z 2018-09-10T03:47:24Z 2008-01-01 Journal 19382650 00015547 2-s2.0-56749134324 10.1159/000325617 https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=56749134324&origin=inward http://cmuir.cmu.ac.th/jspui/handle/6653943832/60694
institution Chiang Mai University
building Chiang Mai University Library
country Thailand
collection CMU Intellectual Repository
topic Medicine
spellingShingle Medicine
Kittipat Charoenkwan
Kanchana Nimmanahaeminda
Surapan Khunamornpong
Jatupol Srisomboon
Paul S. Thorner
Effects of gel lubricant on cervical cytology
description Objective: To determine whether the use of lubricating gel during vaginal speculum examination affected cytologic interpretation in the conventional Pap smear. Study Design: Two consecutive cervical smears were obtained from 1,334 patients undergoing Pap smear screening. The first smear (uncontaminated) was obtained using the routine collection technique. The second smear (gel-contaminated) was taken after applying a 1- to 1.5-cm ribbon of lubricating gel onto the external cervical os. Adequacy of Pap smear and discordance in diagnosis between the paired smears were examined. Results: The proportion of unsatisfactory smears was significantly higher in the gel-contaminated smears, 12.1% vs. 1.7% (p < 0.01). This difference was consistent across all reproductive groups. For patients who had smears satisfactoiy for cytologic evaluation, the discordance in cytologic diagnosis between the gel-contaminated and uncontaminated smears from the same patient was 0.3%. Conclusion: Lubricating gel contamination of the cervix can adversely affect adequacy and cytologic diagnosis in the conventional Pap smear. © The International Academy of Cytology.
format Journal
author Kittipat Charoenkwan
Kanchana Nimmanahaeminda
Surapan Khunamornpong
Jatupol Srisomboon
Paul S. Thorner
author_facet Kittipat Charoenkwan
Kanchana Nimmanahaeminda
Surapan Khunamornpong
Jatupol Srisomboon
Paul S. Thorner
author_sort Kittipat Charoenkwan
title Effects of gel lubricant on cervical cytology
title_short Effects of gel lubricant on cervical cytology
title_full Effects of gel lubricant on cervical cytology
title_fullStr Effects of gel lubricant on cervical cytology
title_full_unstemmed Effects of gel lubricant on cervical cytology
title_sort effects of gel lubricant on cervical cytology
publishDate 2018
url https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=56749134324&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/60694
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