The Gynae Centre

At the Gynae Centre, we offer two types of cervical screening tests:

Cervical Smear Test

A smear is obtained by gently scraping the outer part of the cervix which is nowadays dissolved in a preservative pot, where the cells are examined under a microscope for abnormalities. Cervical smears are only able to detect abnormal cells in about 50% of cases but can rule them out in 90% of cases.

TruScreen Test

This is a relatively new test which provides instant results. It was developed in Australia and has been approved for use in the UK. However it is not widely known about and has not been introduced by the NHS yet. It relies on the fact, that pre-cancerous cells have different physical characteristic from normal cells. It is painless and gives immediate results. It is more sensitive (70%) than Thin Prep smears and slightly less specific (81%).

Combined Cytology and TruScreen pick up 94% of abnormalities.

The Abnormal Smear

Abnormal smear results usually creates anxiety in patients. In order to overcome this, we offer same day appointments and results. In cases where the results show mild, moderate or severe abnormalities, it does not mean that you have cancer. They only indicate pre-cancerous abnormalities, which if left untreated can progress to cancer. We believe that all abnormalities should be investigated by a colposcopy as soon as possible.

Colposcopy

Colposcopy is an examination of the cervix by the microscope. It is a simple procedure which involves inserting a speculum for an internal examination. A diluted solution of 5% acetic acid is applied and the cervix is examined for white areas. It is usually associated with the discomfort encountered during a smear test and takes only 5 minutes to complete. A biopsy may be taken from these areas (slightly more painful) and sent for further testing in the Laboratory. Although the consultant will be able to give you some idea, however the final outcome can only be obtained after the biopsy results.

Large Loop Excision of the Transformation Zone (LLETZ)

Involves removing a small cone from the tip of the cervix by a hot wire loop. This may be done under local anaesthesia in the clinic or under general anethesia in the hospital. In either case there should be no pain during or after the procedure. It allows for removal of the abnormal area and histology so that we can ascertain the degree of abnormality. The cervix usually grows back to normal but slightly shorter within 6 weeks. You will require follow up after 6 months and once a year for life since a small percentage of women will have recurrence.