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Plastic specula: can we ease the passage?

L Kozakis1, J Vuddamalay, P Munday

  • 1Watford Sexual Health Clinic, Watford Hospital, Vicarage Road, Watford WD18 0HB, UK. lisa_Kozakis@hotmail.com

Sexually Transmitted Infections
|May 30, 2006
PubMed
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Lubricant use with genitourinary specula does not interfere with sample testing. Aquagel is safe for Neisseria gonorrhoeae cultures and chlamydial strand displacement assays, ensuring accurate diagnostic results.

Area of Science:

  • Gynecology and Urology
  • Microbiology
  • Diagnostic Assays

Background:

  • Traditional practice advises against speculum lubrication, fearing sample contamination.
  • Increased friction with plastic specula necessitates lubricant use.
  • Limited evidence supports the exclusion of lubricants in genitourinary examinations.

Purpose of the Study:

  • To evaluate the impact of Aquagel lubricant on diagnostic sample testing.
  • To determine if Aquagel affects Neisseria gonorrhoeae cultures.
  • To assess Aquagel's compatibility with chlamydial strand displacement assays.

Main Methods:

  • Assessed Aquagel's effect on Neisseria gonorrhoeae cultures across various dilutions and media.
  • Tested Aquagel's interference with chlamydial strand displacement assay (SDA) using controls.

Related Experiment Videos

  • Mixed varying amounts of Aquagel with samples and processed according to standard protocols.

    • Main Results:

    • Aquagel did not inhibit Neisseria gonorrhoeae culture at any tested concentration.
    • All chlamydial SDA test results were satisfactory when samples were mixed with Aquagel.
    • No compromise in diagnostic test performance was observed with Aquagel use.

    Conclusions:

    • Clinicians can confidently use Aquagel lubricant during difficult genitourinary examinations.
    • Lubricant use, specifically Aquagel, does not compromise the accuracy of key diagnostic tests.
    • Evidence supports the use of lubricants to improve patient comfort and examination feasibility.