Imagine the lawsuits. The NHS has been pushing ALL women above a fixed age to have this exam.
“There is little in the literature relating to the issues surrounding reusable vaginal specula.”
Perhaps this is partially behind the soaring HPV rates?
“They concluded that HPV infected cells can be found on instruments inserted into the vagina of women with HPV infection, and that if these instruments are not cleaned and sterilized properly, they will be a potential source of infection for subsequent patients.”
HPV can cause cancer, btw.
“correct pasteurisation (immersion in water at 80 C for 5 minutes) would inactivate papillomaviruses, herpes viruses, and HIV.“
That isn’t the same as clean. Are women told this? I’ve never heard of it. Uninformed consent. Bleeding is a “common” side effect of these exams, hence the HIV bolded.
“Although there is little in the literature regarding cross-infection from inadequately sterilized specula, we live in an increasingly litigious society. One strand in the defence against patient claims of cross infection from poorly decontaminated and sterilized instruments would be complete documentation of the process, including logbooks, written operating procedures, training records, test results and maintenance data. The other possibility is to use pre-sterilized disposable CE marked equipment from a reputable manufacturer. Either would make it more difficult for a patient to mount a successful legal claim.”
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