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[Gynecologic examinations in paraplegics].

W D Schneeweiss

    Wiener Medizinische Wochenschrift (1946)
    |November 30, 1984
    PubMed
    Summary

    Routine gynecological check-ups for paraplegic patients revealed significant pathology in over two-thirds, often asymptomatic. Early detection of cancers like cervical and breast cancer highlights the importance of consistent screening for individuals with spinal cord injuries.

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    Area of Science:

    • Gynecology
    • Rehabilitation Medicine
    • Oncology

    Context:

    • Introduction of a dedicated gynecological consultant at the Tobelbad Rehabilitation Centre.
    • Routine gynecological check-ups were implemented for paraplegic patients.
    • A 30-month observation period was conducted.

    Purpose:

    • To assess the prevalence of gynecological conditions in paraplegic patients.
    • To evaluate the effectiveness of routine screening in detecting asymptomatic pathologies.
    • To discuss challenges faced by paraplegic individuals in accessing gynecological care.

    Summary:

    • 102 paraplegic patients underwent routine gynecological examinations.
    • Pathological findings were present in over two-thirds of patients, with most being asymptomatic.
    • Severe cases included carcinoma in situ of the cervix and breast cancer, detected through screening.
    • The study highlights that many patients would not have sought gynecological consultation independently.

    Impact:

    • Underscores the critical need for proactive gynecological screening in paraplegic populations.
    • Demonstrates the potential for early cancer detection through systematic check-ups in this vulnerable group.
    • Informs strategies to overcome barriers to gynecological care for individuals with disabilities.

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