[Value of colposcopy in gynecology].
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We performed a study to determine the efficacy of laser therapy for the three grades of cervical intraepithelial neoplasia. Two hundred ninety-two patients were studied. Over 90% of the cases occurred in women between 20 and 30 years of age. Among the 21 patients (7%) with persistent disease, 12 (86%) of the cases were diagnosed within the first six months after laser treatment. Those patients were retreated. The overall cure rate in the study population was 96%.
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Structural abnormalities of the upper genital tract in diethylstilbestrol-exposed (DES-exposed) female progeny have been noted. Since upper genital tract anomalies are often associated with upper urinary tract anomalies, intravenous pyelography was obtained in 102 DES-exposed patients at our institution to determine the incidence of upper urinary tract anomalies. Only two patients had duplication of the ureter. Since this incidence is not greater than that expected in an unexposed population, intravenous pyelogram studies are not routinely recommended for DES-exposed patients.