title: Fabric-based exocervical and endocervical biopsy in comparison with punch biopsy and sharp curettage.
abstract: OBJECTIVE
  Fabric-based endocervical and exocervical biopsy tools were compared with exocervical punch biopsy and sharp endocervical curettage. We compared the level of pain reported by the patient and the amount of bleeding rated by the physician relative to the type of biopsy used.
  
  
  METHODS
  This was a 2-center institutional review board-approved study of patients undergoing colposcopy. One center randomized patients to undergo either conventional (punch biopsy, sharp endocervical curettage) or fabric-based biopsy of the endocervix and exocervix, and a second center enrolled nonrandomized controls. The patient and physician subjectively rated bleeding (exocervical) and pain (endocervical and exocervical) from the biopsy procedure(s), which were compared using the nonparametric Wilcoxon test.
  
  
  RESULTS
  Exocervical and endocervical biopsies from 55 patients were compared. Fabric-based biopsies were abundant full-thickness curettage and showed statistically significant less pain and bleeding than the conventional biopsy methods (p < .0001).
  
  
  CONCLUSIONS
  Fabric-based biopsies are significantly less traumatic than conventional biopsies. The benefits of a less-invasive biopsy could increase the willingness to perform multiple biopsies, increase disease detection, and improve patient satisfaction, which could impact future gynecologic health-seeking behavior and compliance with colposcopy recall.
authors.affiliation: Department of Obstetrics and Gynecology, Orange Coast Women's Medical Group, Laguna Hills, CA 92653, USA. winter@ocwmg.com
authors.forename: Marc
authors.initials: M
authors.lastname: Winter
authors.forename: Ramon M
authors.initials: RM
authors.lastname: Cestero
authors.forename: Andrew
authors.initials: A
authors.lastname: Burg
authors.forename: Juan C
authors.initials: JC
authors.lastname: Felix
authors.forename: Catherine
authors.initials: C
authors.lastname: Han
authors.forename: Ann Marie
authors.initials: AM
authors.lastname: Raffo
authors.forename: Steven
authors.initials: S
authors.lastname: Vasilev
mesh_terms: D000328:Adult; D000368:Aged; D001706:Biopsy / Q000009:adverse effects* / Q000379:methods; D003475:Curettage / Q000009:adverse effects* / Q000379:methods; D005260:Female; D006801:Humans; D008875:Middle Aged; D010146:Pain / Q000453:epidemiology*; D002577:Uterine Cervical Diseases / Q000175:diagnosis* / Q000473:pathology*; D014592:Uterine Hemorrhage / Q000453:epidemiology*; D055815:Young Adult