What Role Should Cytology Play in Cervical Cancer Screening?
No abstract available (Source: Journal of Lower Genital Tract Disease)
Source: Journal of Lower Genital Tract Disease - June 26, 2019 Category: OBGYN Tags: Forum Source Type: research

Concordance of Self- and Clinician-Collected Anal Swabs to Detect Human Papillomavirus in a Sample of HIV-Negative Men
Conclusions Self-collected anorectal swab samples showed lower sensitivity but moderate to high specificity for detection of high-risk and vaccine-preventable HPV types compared with clinician-collected swab samples. Self-collection instructional details and the thoroughness of clinician collection of samples may have impacted sensitivity and specificity, suggesting a need to optimize and standardize instructions. (Source: Journal of Lower Genital Tract Disease)
Source: Journal of Lower Genital Tract Disease - June 26, 2019 Category: OBGYN Tags: Original Research Article: Perianal and Anal Source Type: research

Acceptability of Women Self-Sampling versus Clinician-Collected Samples for HPV DNA Testing: A Systematic Review
Conclusions Both methods of sampling were found to be acceptable to women. Self-sampling is cost-effective and could increase the screening coverage among underscreened populations. However, more information about the quality, reliability, and accuracy of self-sampling is needed to increase women's confidence about using to this method. (Source: Journal of Lower Genital Tract Disease)
Source: Journal of Lower Genital Tract Disease - June 26, 2019 Category: OBGYN Tags: Original Research Articles: Cervix and HPV Source Type: research

Tablet-Based Patient Education Regarding Human Papillomavirus Vaccination in Colposcopy Clinic
Objective The aim of this study was to use an electronic tablet–based education module to increase patient knowledge about human papillomavirus (HPV). Methods Patients presenting to an academic colposcopy clinic were first queried as to whether they had been infected with HPV. A quality improvement project was then conducted using a 4-question pretest assessing baseline knowledge about HPV and cancer, followed by a tablet-based education module and a 5-question posttest. Results Between June 2017 and January 2018, 119 patients participated in the tablet education. At their initial visit, only 50 (42.0%) of patien...
Source: Journal of Lower Genital Tract Disease - June 26, 2019 Category: OBGYN Tags: Original Research Articles: Cervix and HPV Source Type: research

ASCCP President 2019–2020 Vision
No abstract available (Source: Journal of Lower Genital Tract Disease)
Source: Journal of Lower Genital Tract Disease - June 26, 2019 Category: OBGYN Tags: ASCCP News Source Type: research

Vulvovaginal Lichen Planus: A Disease in Need of Consensus-Based Clinicopathologic Diagnostic Criteria
No abstract available (Source: Journal of Lower Genital Tract Disease)
Source: Journal of Lower Genital Tract Disease - March 23, 2019 Category: OBGYN Tags: Letters to the Editor Source Type: research

Reply to “Is Vulvovaginal Lichen Planus Associated With Squamous Cell Carcinoma?”
No abstract available (Source: Journal of Lower Genital Tract Disease)
Source: Journal of Lower Genital Tract Disease - March 23, 2019 Category: OBGYN Tags: Letters to the Editor Source Type: research

Should We Always Biopsy in Clinically Evident Lichen Sclerosus?
Conclusions Reliance on biopsies solely to establish or exclude the diagnosis of LS is inadvisable. A good level of knowledge of the characteristic clinical features is imperative among gynecologists, dermatologists, and general practitioners. (Source: Journal of Lower Genital Tract Disease)
Source: Journal of Lower Genital Tract Disease - March 23, 2019 Category: OBGYN Tags: Benign Vulvovaginal Disorders Source Type: research

Impact of the Sampling Site in the Result of Wet Mount Microscopy
Conclusions There is some variation in the results according to the sampling site, which may be overcome by collecting 2 samples (anterior fornix and lower third of the vagina). (Source: Journal of Lower Genital Tract Disease)
Source: Journal of Lower Genital Tract Disease - March 23, 2019 Category: OBGYN Tags: Benign Vulvovaginal Disorders Source Type: research

Mindfulness-Based Group Cognitive Behavior Therapy for Provoked Localized Vulvodynia: A Randomized Controlled Trial
Conclusions Mindfulness-based group cognitive behavior and education support group therapy are effective in reducing pain and distress. However, women in the M-gCBT program showed greater improvement in certain secondary outcomes, indicating that M-gCBT may offer some advantages in reducing distress associated with provoked localized vulvodynia. (Source: Journal of Lower Genital Tract Disease)
Source: Journal of Lower Genital Tract Disease - March 23, 2019 Category: OBGYN Tags: Benign Vulvovaginal Disorders Source Type: research

Vulvovaginal Discomfort Is Common in Both Premenopausal and Postmenopausal Women
Objectives We surveyed women from a primary care population to assess the prevalence of unreported vulvovaginal symptoms. Materials and Methods A random sample of women aged 18 to 84 years without a diagnosis of vulvovaginitis or vulvodynia in the past year were surveyed anonymously about prevalence and severity of vulvar and vaginal symptoms of itching, burning, irritation, vaginal discharge, vaginal dryness, and vulvovaginal pain in the past month. Women reporting at least 1 moderate-severe symptom were considered symptomatic. Demographic and clinical characteristics were compared between women with and without symp...
Source: Journal of Lower Genital Tract Disease - March 23, 2019 Category: OBGYN Tags: Benign Vulvovaginal Disorders Source Type: research

Descriptors of Vulvodynia: A Multisocietal Definition Consensus (International Society for the Study of Vulvovaginal Disease, the International Society for the Study of Women Sexual Health, and the International Pelvic Pain Society)
Conclusions The definitions of vulvodynia descriptors were determined by a multistaged process of discussion among health care providers with expertise in the pathophysiology, evaluation, and treatment of vulvodynia. The definitions were approved by the ISSVD, ISSWSH, and IPPS. It is recommended that these definitions of vulvodynia descriptors as well as the 2015 consensus terminology be used for the classification of vulvodynia. (Source: Journal of Lower Genital Tract Disease)
Source: Journal of Lower Genital Tract Disease - March 23, 2019 Category: OBGYN Tags: Benign Vulvovaginal Disorders Source Type: research

The Clinical Role of LASER for Vulvar and Vaginal Treatments in Gynecology and Female Urology: An ICS/ISSVD Best Practice Consensus Document
In this best practice document, we propose recommendations for the use of LASER for gynecologic and urologic conditions such as vulvovaginal atrophy, urinary incontinence, vulvodynia, and lichen sclerosus based on a thorough literature review. Most of the available studies are limited by their design; for example, they lack a control group, patients are not randomized, follow-up is short term, series are small, LASER is not compared with standard treatments, and most studies are industry sponsored. Because of these limitations, the level of evidence for the use of LASER in the treatment of these conditions remains low and ...
Source: Journal of Lower Genital Tract Disease - March 23, 2019 Category: OBGYN Tags: Benign Vulvovaginal Disorders Source Type: research

Should We Always Look Before We LEEP? A Discussion of the Pros and Cons of Colposcopic Biopsy Prior to Treatment
No abstract available (Source: Journal of Lower Genital Tract Disease)
Source: Journal of Lower Genital Tract Disease - March 23, 2019 Category: OBGYN Tags: Forum Source Type: research

International Anal Neoplasia Society Guidelines for the Practice of Digital Anal Rectal Examination
Conclusions Digital Anal Rectal Examination is a cheap and potentially universally available technique, which has the potential to facilitate the early diagnosis of anal cancers, when they are most amenable to treatment. These guidelines provide a basis for teaching the technique and may be used as for evaluation research. (Source: Journal of Lower Genital Tract Disease)
Source: Journal of Lower Genital Tract Disease - March 23, 2019 Category: OBGYN Tags: Anal Disease Source Type: research