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Survey of colposcopy service provided by genito-urinary medicine in England and Wales
1University Department of Genito-Urinary Medicine, Royal Liverpool Hospital, UK.
Objective:
To investigate the expansion of colposcopy services within genito-urinary medicine (GUM) in England and Wales since 1985.
Design:
Data collected by postal and verbal communication from 189 genito-urinary medicine clinics in England and Wales in January 1990.
Subjects:
Consultant and junior genito-urinary physicians practising colposcopy.
Main Outcome Measures:
Number of clinics providing colposcopy service; indication for colposcopy, treatment facilities available, waiting lists and training opportunities, compared with that in 1985.
Results:
Of the 189 genito-urinary medicine clinics contacted, 60 provided a colposcopy service and 55 of these returned completed questionnaires. There has been a 67% increase in the number of colposcopies in use and over 50% of clinics have the facilities to treat cervical pathology. Waiting lists were minimal for both examination and treatment. Both men and women are examined with the colposcope for a variety of indications. At present, 52% of career grade GUM physicians practise colposcopy compared to 24% in 1985 and 94% of senior registrars compared with 42% in 1985 were in training or trained in colposcopy.