Colposcopy Confusion

QUESTION: The results of my recent PAP smear were not all that either my
physician or I could have wished for. Now he is proposing a colposcopy
examination, but I thought that was for rectal cancer. Can you please explain
what he is suggesting, what he hopes to accomplish and if you think it is a
good idea?
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ANSWER: You have got your scopes just a bit confused, but that's
understandable. It is a colonoscope that is used for rectal and colon
examinations. The colposcope (from the Greek word kolpos--referring to the
vagina) is very much like a binocular microscope with special ability to light
the vagina and particularly the cervix at the end of the vagina. The tissue
that forms the covering of the cervix may be clearly seen, and it was this
tissue covering that gave rise to the cells seen on your pap smear that are
causing the anxiety. With this instrument, your physician can identify any
abnormal patches of tissue, take small pieces for examination (biopsy), and
determine the presence of any precancerous growth or an actual cancer. Since
it is performed in the office, it is much cheaper than a hospital stay, and
the side effects are minimal. Your physician is attempting to make an
accurate diagnosis in a manner that is least disturbing to you, to plan his
therapy. I think it is a fine idea.