Future of cervical screening programme in Pakistan: a two years experience of colposcopy at district headquarters hospital, Rawalpindi

Cervical cytology and colposcopic assessment of the same patients was carried out in Gynaecology Outpatient Clinic. Subjective selection of 250 adult females, presenting with vaginal discharge, postcoital intermenstrual bleeding, backache and cervical eclopy was done.Fiftv patients [20%] were dropped out clue to non compliance. One hundred and eight, two [91%] women were below the age of 40 years and eighteen females [9%] were above 41 yeas. Cervical cytology was normal in 75% samples. Eight% were showing cervical intraepithelial neoplasia WIN, I, II]. Seventeen% were having inflamatory iy changes.On colposcopy 20% cases showed abnormalities as aceto-white epithelium scluamous melaplasia orabnormal vascularpattern. Cervical polbp were seen in 8% women, colposcopically guided cervical punch biopsy in 18% patients showed inflamatory changes.Use of colposcope for the evaluation of gynaecological problems is indisposible in clinical practice. An awareness of population about the carcinoma cervix and collaboration among clinicians, cytologists and colposcopists is essential for prevention of carcinoma cervix

Prevalence of vaginal candidiasis in gynecology

Clinical presentation of patients reporting with vaginal discharge in Gynaecology Outpatient Department of Holv Familv Hospital, Rawalpindi and Women clinic and Fertility Advisors Centre, Islamabad was observed from December 199.3 to November 1994. Mean age was 30 years [range 19-60 year]. Candida albicans was positive in 48% and negative in 52% patients. Among Candida albicans negative patients, 18% had bacterial infection, 61% had no growth in culture media but pus cells were present in the smear; normal flora was found in 13% while 6% should Trichomonas vaginals. Main symptoms were vaginal discharge, pruritus, burning, soreness and pain. Excoriation, erythema and vaginal discharge was seen in almost every patient. Patients can be easily cured if early diagnosis of candidiasis is made

Ovarian tumours with pregnancy: 8 years experience

Clinical and pathological features of 9 ovarian tumours with pregnancy observed from 1988 to 1995 in District Headquarters Hospital Rawalpindi are discussed. Incidence of tumours was 1:2148.Age of patients ranged from 17-30 years [Mean 24 years]. Mostly tumours were on left side while 14% had bilateral tumours. Size of tumours varied from 8 to 15 cm [Mean 10.8 cm]. No malignant from 8 to 15 cm [Mean 10.8 cm]. No malignant cysts. Line of treatment depends upon the age of gestation period. Laparotomy is mandatory if complications occurs during pregnancy