ÖZET

Amaç: Benign nedenlerle histerektomi uygulanan olgularda vajinal cuff smeari uygulamasının etkinliğini değerlendirmek.
Gereç ve Yöntem: Benign nedenlerle histerektomi uygulanmış 226 hastanın, vajinal cuff smear sonuçları retrospektif olarak incelendi.
Bulgular: 226 hastanın 221’nin vajinal cuff smearlerinde herhangi bir sitolojik anormalliğe rastlanmadı. 5 olguda anormal sitoloji saptanmıştır. Koilositozis saptanılan olgularda displazi gelişme riski daha yüksek olarak tespit edilmiştir. Histerektomi öncesi anormal sitoloji bulgulu olgularda displazi gelişme oranı çok az artarken, sonuç istatistiksel olarak anlamlı bulunmamıştır.
Sonuç: Benign nedenlerle histerektomi uygulanmış olgularda rutin olarak vajinal cuff smear takibinin gerekli olmadığı sonucuna varılmıştır.
Anahtar Kelimeler: Histerektomi, Vajınal cuff smear, Sitoloji, Displazi

The Effectiveness of Vaginal Cuff Smear Testing Following Hysterectomy

SUMMARY

Objective: To evaluate whether routine vaginal cuff smear testing is indicated in post hysterectomy patients with benign uterine conditions.
Material and Methods: We conducted a community-based retrospective study and follow-up of women with vaginal cuff cytologic smears who have had a hysterectomy for benign uterine conditions. A total of 226 women were randomly selected who had one or more vaginal cuff smears.
Results: 221 of 226 women who underwent hysterectomy for benign uterine conditions were observed for any cytologic abnormalities on vaginal cuff smears. Abnormal cytology was detected in the 5 cases. The risk of dysplasia was much higher in the patients with post hysterectomy whom koilocytosıs were detected. The prevalence of dysplasia was much higher in the patients who had abnormal cervical cytology before hysterectomy. However, the result was not statistically significant.
Conclusion: Routine vaginal cuff cytology screening need not be performed in women who have had a hysterectomy for benign uterine conditions.
Key Words: Hysterectomy, Vaginal cuff smear, Cytology, Dysplasia