Video colposcopy is a modern diagnostic method

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Timofeeva Veronika Leonidovna

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Videocolposcopy

is a modern method of gynecological examination using a special device - a video colposcope. With video colposcopy, as with conventional colposcopy, the entrance to the vagina, the vaginal walls and the cervix are examined, but, unlike an ordinary colposcope, a video colposcope can be used to take photos and videos. The resulting digital image can be processed on a computer, conveniently stored and can be used later when analyzing the progress of treatment and the status of identified pathologies. The video colposcope allows you to obtain a 30-fold magnification, which makes it possible to detect even the slightest defects (erosions, neoplasms, hemorrhages).

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The examination is carried out using a special device - a video colposcope, thanks to which an image of the examined organ and tissues is displayed on the computer screen in real time. Images of problematic areas of the internal genital organs can be enlarged, saved digitally and printed.

This diagnostic method is especially effective during asymptomatic gynecological diseases, and also makes it possible to detect the disease even with slight changes in the color and structure of the cervix and vagina, and invisible tissue defects.

At Medicenter, video colposcopy is performed by highly qualified gynecologists using modern equipment that allows them to see the smallest pathological lesions on the mucous membrane of the vagina and cervix.

For what diseases is video colposcopy indicated?

Video colposcopy is indicated for any diseases of the external genitalia, vagina, cervix, as well as diseases of the final sections of the urethra. This is already a standard way of visually assessing the surface of organs at high magnification.

Oncological processes, condylomas and papillomas of all parts of the intimate zone, leukoplakia and cervical dysplasia, endocervicosis and endocervicitis, vaginitis and erosion. Everything pathological that develops in the genitourinary area and can be examined with the eye must today be examined through the eyepiece of a colposcope.

Video colposcopy procedure

Video colposcopy feels a little different from a regular examination. The doctor inserts a speculum into the woman and applies Lugol's solution, iodine or acetic acid to the cervix, which allows identifying the affected tissue. When the solution takes effect, the specialist, using a video colposcope (a binocular microscope with a video camera attached to it), begins to conduct an examination. During video colposcopy, the gynecologist can at any time save the image to a personal computer and demonstrate it to the patient on the monitor. In difficult situations, the process of video colposcopy can be observed on the monitor by several doctors. On average, the procedure takes 10-20 minutes. After video colposcopy, a woman should limit sexual activity for several days.

How to prepare to reduce pain

There are no clearly established rules for performing colposcopy. The question about video colposcopy: when should it be done and will it hurt, interests most women with gynecological diseases. There are measures that are advisable to use.

The absence of sexual intercourse a few days before will have a positive effect. This is due to less irritation of the inner lining of the organ. Hygiene also plays a role. It is advisable not to use special hygiene products. Refusal to use the product will help you see the real picture and eliminate distortion of the condition of the mucous membrane of the genital organ.

The following help reduce pain:

• maintaining hygiene;
• refusal of sexual activity a few days before the procedures;
• conducting a study 7 days after the menstrual cycle.

To keep pain to a minimum, it is advisable to inform your gynecologist about any allergic reactions that you have.

Advantages of the method:

• Possibility of diagnosing cancer at early stages and timely treatment.
• Video colposcopy is an absolutely painless procedure that lasts no more than half an hour.
• The image is broadcast on the screen, which makes it possible for several doctors to participate in the examination, and for patients to clearly see the nature of changes in the organ.
• Thanks to the image magnification by 30 times, the device allows you to diagnose the smallest structural and functional changes in the walls of the vagina and cervix and determine the nature of the pathology.
• The resulting image is saved on a digital medium, which in the future will make it possible to track the dynamics of the development of the disease focus and evaluate the results of treatment.

Doctors at the Medical Center recommend that every woman undergo video colposcopy at least once a year.

What is video colposcopy and how does it differ from colposcopy?

Colposcopy and video colposcopy are diagnostic examinations of the vaginal part of the uterine cervix and vaginal walls. Using these techniques, you can assess the condition of the mucous membranes of the vagina and uterus, detect lesions and inflammation, erosion, tumors and other neoplasms. During a colposcopic examination, the doctor visualizes the size and shape of the uterine cervix, the shade of the vascular pattern and tissue structures, the relief of the mucous membranes, as well as the presence and boundaries of tumor formations.

The main difference between video colposcopy and simple colposcopy is the ability to broadcast the received information onto a monitor screen and save it.

Video colposcopy differs from conventional colposcopy in its ability to document the examination—to record the information obtained in a digital format. Modern colposcopes are equipped with auxiliary video and photo recording functions, which allows the doctor to reduce diagnostic time and further study the data obtained. Thanks to recorded photo or video materials, you can consult with another specialist without repeating the examination.

Another difference between video colposcopy is the presence of equipment with more powerful optics, which allows the use of digital zoom (increasing the frame in size). There is no difference between the procedures for the patient. During the examination, the device is installed at a distance of 15-20 cm from the perineum, and the doctor uses a gynecological speculum.

Features of extended vulvoscopy

An advanced diagnosis of the vulva is performed on a gynecological chair using a colposcope. The doctor examines the condition of the surface of the woman's external genital areas under a microscope, starting with a small zoom, to assess the general condition of the entire area. If necessary, the sensitivity of the optics is increased to examine in detail the state of cells that cause suspicion of pathology.

Extended vulvoscopy involves the use of solutions of vinegar and iodine. These tests indicate the location of atypical cells.

First, a three percent vinegar solution is applied to the surface of the vulva and vagina. Healthy cells react to the fluid by contracting, and tissues with pathology acquire a whitish tint. The result is due to the absence of muscle fibers that perform the contraction function.

The Schiller test involves applying Lugol's solution or toluidine blue to the mucous membrane. The liquid stains fabrics dark. If toluidine blue solution is used, the surface of the vulva becomes blue. The dye is removed after a few minutes with a vinegar solution. The dye quickly disappears from healthy tissues, but the blue color remains on cells with changes. When using iodine, the test result is slightly different: healthy tissues are stained dark brown, the affected cells stand out against the general background in a mustard or gray color.

Regardless of what sample the doctor uses during extended vulvoscopy, clear outlines of the boundaries of the pathological areas are visible through the microscope. The doctor may perform a biopsy to send the material for further research, histology.

Where to go for testing

Despite the fact that regular or extended colposcopy of the female genital organs is a simple and safe procedure, you should only seek the service from experienced doctors with many years of practice. The condition and equipment of the treatment room is also of great importance for an accurate diagnosis. In Novorossiysk, gynecologists of the “Multifunctional Surgical Clinic” are professionals in the field of extended colposcopy and vulvoscopy. You can sign up for an extended vulvoscopy by phone or by leaving a request on the website.

Depending on the indications for diagnosing the vulva, vagina, cervix or the full complex, the total cost of the procedure is determined. There is the possibility of video colposcopy in order to have the results in hand if there is a need to consult with other specialists. You can find out the prices for simple or advanced vulvoscopy on the website or by phone.

Author of the article

Obstetrician-gynecologist of the highest category

Lukyanova Lyudmila Vitalievna

Other types of colposcopy:

Colposcopy - examination and tests Extended colposcopy of the cervix Colposcopy of cervical polyp Colposcopy of the cervix Colposcopy before IVF

Prices for extended colposcopy and vulvoscopy

Go to the full list of paid gynecology services

How is video colposcopy performed in routine gynecology?

There are no contraindications for this type of examination in gynecology, but sometimes it can cause fever, chills, bleeding, and discomfort in the lower abdomen. In these cases, you must immediately consult a doctor.

The date for the examination must be chosen in advance to avoid menstrual days. Two days before video colposcopy in routine gynecology, vaginal sex and the use of tampons should be excluded, and it is also advisable to refrain from taking painkillers.

The video colposcopy procedure itself in routine gynecology usually takes no more than 20-30 minutes.

It is possible to detect in advance the presence of the slightest changes in tissue structure, the formation of neoplasms and other pathologies. Thanks to the use of video colposcopy in routine gynecology, it is possible to prevent the development of many diseases of the female reproductive system and make the treatment of existing diseases more effective. Thus, video colposcopy in planned gynecology is not only a modern method, but also extremely effective.

Price for colposcopy and other studies