Endometrial cytology--the Endo-pap direct endometrial sampler

A study was designed to assess the clinical characteristics and diagnostic cytological accuracy of an endometrial sampler, the Endo-pap (Monoject; Sherwood Medical, St Louis, Mo., USA), a disposable plastic curette. The Endo-pap was compared with the Accurette (Rolon, Watford, UK), another plastic endometrial sampler used for histological investigation. Microcolpohysteroscopy was also employed as part of the procedure. Fifty symptomatic patients, median age 50 years, were studied; the majority (55.6%) had been referred for postmenopausal bleeding. The Endo-pap yielded adequate specimens in 90% of patients compared with 82% with the Accurette. In 7 patients, endometrial carcinoma was correctly diagnosed with all three diagnostic methods and no false-positive diagnosis was made.