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Re: PAP Smear after TAH From: KELLY SHANAHAN (mks@sierra.net) Tue Dec 31 15:27:09 1996 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: MBK80@aol.com: "Re: New Series #1-Admission and NSVD of laboring patients" Previous message: Kelly Shanahan: "abdominal-pelvic masses" Maybe in reply to: Ed Uthman: "PAP Smear after TAH" Next in thread: Robert J Woolley: "Re: PAP Smear after TAH" Reply: Robert J Woolley: "Re: PAP Smear after TAH" At 12:31 PM 12/31/96 -0600, you wrote: >Thre was an article in a recent NEJM which also showed that pap smears >after Hysterectomy unless patient had a h/o CIN/SIL/Ca was not needed. I >stopped doing paps in those patients (no abnormal hx) about 1 year ago, >after reviewing our paps done as a routine in patients with hysterecomy >and not one showed any VAIN. I would have agreed wholeheartedly until the last 3 months when I've had 2 >50 yo women with hysters for benign indications and no h/o abnormal paps, both of whom had loSIL on vaginal cuff pap and HPV and/or mild dysplasia on colposcopically directed biopsy. Interestingly, one of these women was carrying on an affair with a married neighbor, and the other had a new sexual partner after several years of widowhood. maybe skipping the vaginal pap is okay if the woman is in a long term mutually monogamous relationship, but if not, maybe we should still do them (how about every 2-3 yars?) -- Kelly Shanahan, MD private practice Next message: MBK80@aol.com: "Re: New Series #1-Admission and NSVD of laboring patients" Previous message: Kelly Shanahan: "abdominal-pelvic masses" Maybe in reply to: Ed Uthman: "PAP Smear after TAH" Next in thread: Robert J Woolley: "Re: PAP Smear after TAH" Reply: Robert J Woolley: "Re: PAP Smear after TAH"

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