Vaginal Smear Findings in Our Kidney Transplant Recipients: Vaginal Smear Findings

Utku ÖZGEN

doi:10.5281/zenodo.10020994

Authors

Utku ÖZGEN Pamukkale University School of Medicine

DOI:

https://doi.org/10.5281/zenodo.10020994

Keywords:

Vaginal smear, HPV, Kidney transplantation

Abstract

AIM

The aim of this study was to evaluate the results of the smear tests in renal transplant recipients, determine the prevalence of abnormal outcomes and compare these patients with the general population in our center.

MATERIALS AND METHODS

A total of 79 female patients who underwent renal transplantation at Pamukkale University were retrospectively evaluated. All patients were followed up during and after the surgical procedures by a gynecologist and the smear results were recorded periodically.

RESULTS

The mean time of Pap smear results after transplantation in kidney transplant recipients was 36.7±4.5 months. There was a significant difference between the two groups in terms of atrophic cervicitis. In transplantation group, 7 patients (8.86%) had LG-SIL, 3 (3.79%) had ASC-US and 1 (1.26%) had HG-SIL. In control group, the numbers are 3 (3.79%), 2 (2.53%) and 0, respectively. The difference between the patient and control groups in terms of LG-SIL results (7 (8.86%) vs 3 (3.79%) was statistically significant (p<0.05).

CONCLUSIONS

We predict that kidney transplant recipients are at higher risk for precancerous cervical lesions and cervical cancer development due to immunosuppressive therapy. Smear screening and HPV testing should be repeated periodically to detect or prevent precancerous lesions and cervical cancer.

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References

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Vaginal Smear Findings in Our Kidney Transplant Recipients