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Re: PAP Smear after TAH From: Robert J Woolley (wooll005@gold.tc.umn.edu) Tue Dec 31 15:42:08 1996 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: KELLY SHANAHAN: "Re: New Series #1-Admission and NSVD of laboring patients" Previous message: MBK80@aol.com: "Re: New Series #1-Admission and NSVD of laboring patients" In reply to: KELLY SHANAHAN: "Re: PAP Smear after TAH" Next in thread: Zach Newton: "Re: PAP Smear after TAH" On Tue, 31 Dec 1996, KELLY SHANAHAN wrote: > > 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?) I'm not aware of evidence that HPV can malignantly transform vaginal mucosa, though I admit I've not tried reading on that question. If there is not such evidence, what would be the rationale for deciding on contuing post-hysterectomy paps on the basis of sexual activity? Next message: KELLY SHANAHAN: "Re: New Series #1-Admission and NSVD of laboring patients" Previous message: MBK80@aol.com: "Re: New Series #1-Admission and NSVD of laboring patients" In reply to: KELLY SHANAHAN: "Re: PAP Smear after TAH" Next in thread: Zach Newton: "Re: PAP Smear after TAH"

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