Learning colposcopy

Colposcopic appearance of normal cervix

Colposcopic appearance of normal cervix Normal cervical epithelium

Normal cervical epithelium Original squamous epithelium Columnar epithelium Squamocolumnar junction

Ectropion or ectopy Squamous metaplasia

Squamous metaplasia Features of squamous metaplasia

Transformation zone

Transformation zone Types of transformation zone

Atrophic changes Changes during pregnancy The nulliparous and parous cervix

The colposcopic examination

The colposcopic examination Indications for colposcopy Description of a colposcope Ancillary instruments for colposcopy Consumables required for colposcopy

Consumables required for colposcopy Preparation of acetic acid Preparation of Lugol's iodine

Colposcopy setup Steps of a colposcopic examination Inadequate colposcopy Exposing the cervix properly Using the endocervical speculum Colposcopically directed biopsy Endocervical curettage Documentation of colposcopic findings

Detection of infections & benign conditions of cervix

Detection of infections & benign conditions of cervix Cervicovaginal inflammation

Cervicovaginal inflammation Vaginal discharge Inflamed cervix

Condyloma and subclinical papillomavirus infection (SPI) The congenital transformation zone (CTZ) Ectropion or ectopy Erosion Cervical polyp Leukoplakia Cervical stenosis Cervical endometriosis Post-treatment consequences

Detection of cervical neoplasias

Detection of cervical neoplasias Identification and documentation of colposcopic abnormalities General assessment General principles Location of abnormality Size of abnormality Abnormal colposcopy

Grade 1 (minor) changes Grade 2 (major) changes Grade 2 (major) changes (contd.) Non-specific changes Changes suspicious of invasion Miscellaneous changes

Calculating Swede score Diagnosing invasive cancer Diagnosing adenocarcinoma in situ (AIS) and adenocarcinoma Colposcopy procedure – Videos

Treatment of cervical intraepithelial neoplasia

Treatment of cervical intraepithelial neoplasia Treatment by cryotherapy

Principles Cryosurgical unit Ancillary instruments and consumables Steps Side-effects and complications Post-treatment advice and follow-up Procedure video

Treatment by thermal coagulation

Principles Semm cold coagulator Steps Side-effects and complications Procedure video

Treatment by LLETZ

Principles and indications Instruments and consumables Steps Direction of cutting: from below upwards Direction of cutting: from one side to the other Side-effects and complications Avoiding injury to the vagina Post-treatment advice and follow-up Type 1 excision video Type 2 excision video Type 3 excision video

Treatment by cold-knife conization

Principles Instruments and consumables required Steps Side-effects and complications Procedure video

Cases

Normal

Normal Atrophy Changes in pregnancy

Squamous metaplasia and ectropion

Ectropion Metaplasia

Inflammation and cervicitis

Candidiasis Trichomonas vaginalis Inflammation

Low grade High grade Early and advanced cancers

Squamous cell cancer Adenocarcinoma

Miscellaneous

Cervical polyp Condyloma Congenital transformation zone Leukoplakia Stenosis of cervix

Post treatment

Post-LLETZ Post-cryotherapy Post-radiation changes

Search with IFCPC criteria Search with Swede score criteria

Quiz Foreword Acknowledgement Authors Suggested citation Copyright

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Atlas of Colposcopy: Principles and Practice

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Treatment by thermal coagulation – Side-effects and complications

The possible side-effects and complications of the thermal coagulation procedure are the same as those for cryotherapy. The duration of vaginal discharge is usually shorter with thermal coagulation.

Post-treatment advice and follow-up
The post-treatment advice and follow-up for thermal coagulation are the same as those for cryotherapy.

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