Endocervical Curettage

Endocervical curettage frequently precedes external cervical biopsies so as not to cross-contaminate the specimens. Endo-cervical lesions can require much more extensive and invasive treatment. Endocervical sampling is done if the cause for the abnormal Pap smear is not identified or if an ectocervical lesion extends into the cervical canal. An endocervical curette is placed into the cervix with the sharp edge against the wall of the canal. The curette is then drawn back and forth against the cervical canal in a 360-degree sampling twice around. The sample removed can be retrieved with an endocervical brush and sent for pathologic assessment separate from any other specimens. Endocervical curettage is contraindicated in pregnant patients. (See Tuggy Video: Colposcopy.)

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