[Colposcopy: technique and practical applications].
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OBJECTIVE: To evaluate the usefulness of osmotic dilators as an alternative to diagnostic cone biopsy. STUDY DESIGN: Women who had an unsatisfactory colposcopic examination were offered repeat examination after use of osmotic dilators as part of an interventional, nonrandomized study. The physician selected the type, size and duration of use of the dilator. RESULTS: Twenty-nine of 32 women (91%) underwent a satisfactory repeat examination. Diagnostic cone biopsy was avoided in all women. Twenty-one women did not require further treatment, and four women had the lesion removed by the colposcopically directed biopsy. Six women underwent electrosurgery, and one woman underwent cryotherapy. CONCLUSION: The use of osmotic dilators can decrease the need for diagnostic cone biopsy.
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The colposcope need not be used solely to examine the mucosa of the cervix and vagina. It can help in the diagnosis of the etiology of genito-pubic phthiriasis by the finding of louse eggs firmly fixed to the hairs, whereas usually only the low magnification microscope shows them up.
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