Patient acceptability of laser and cold coagulation therapy for pre‐malignant disease of the uterine cervix

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Abstract
Objective— To determine patient acceptability of cold coagulation and laser treatment for cervical intraepithelial neoplasia (CIN).Design— A prospective study with alternate allocation.Setting— Teaching hospital in London.Subjects— 155 women requiring treatment for CIN.Main outcome measures— Time taken to complete the treatment; visual analogue scores for pain experienced, anxiety felt and acceptability of the procedure; post treatment bleeding and discharge, and follow‐up smear.Results— Cold coagulation treatment was found to be quicker and less painful than laser treatment, there were no other significant differences between the two methods of treatment.Conclusion— Cold coagulation is a more acceptable form of treatment for CIN than laser.

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