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PAP after TAH...new evidenceFrom: avaldez@infolnk.netFri May 29 20:40:32 1998
Dear listmembers... Several months ago, I posted a question about your oppinions in getting pap smears in women after TAH for benign reasons...My position was that I don't found valuable to do that and I have a strong position to do that, and I asked for your opinions because I had some arguments for my colleagues here for that... As I remember, I found very different oppinions, pro and against that, and it didn't get so clear.. I want to ask again about some references I found... Accordin to the Guide to Clinical Preventive Services (US Preventive Services Task Force 2nd ed. W&W,1996) women who have undergone a hysterectomy for benign reasons do not benefit from PAP testing... Eaker,E., (Obstet Gynecol 1998;91:551) found that 58% of the women with a benign hysterectomy were still receiveng tests... We heard in that list disscution that some are doind that to prevent vaginal carcinoma, but...Pearce,K. (N Eng J Med 1996;335:1559) found that the prevalence of abnormal findings in PAP smears after TAH for benign reasons is extremely low...Fetters (JAMA 1996;275:940) concluded that there is insufficient evidence to recommend routine PAP smears in those women... So, in view of this evidence...Do you support to continue that guideline in PAP smear after a TAH for benign reasons, and why to do that... Thank yiou for your inputs to clear my dudes... Antonio Valdez_torres MD FACOG Hospital Guernika Ciudad Juarez, Chihuahua, MEXICO.
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