Comparison of endocervical curettage and endocervical brush during unsatisfactory colposcopy for endocervical sampling in human papillomaviruses positive women

INTRODUCTION: Comparison of endocervical curettage (ECC) and endocervical brush (ECB) in women with human papillomaviruses (HPV) positive who had unsatisfactory colposcopy for endocervical sampling.
METHODS: Women who underwent ECC and ECB during an unsatisfactory colposcopy were retrospectively investigated. The results were classified as normal, inadequate, low, and high-grade lesions for compiling the two methods.
RESULTS: In the 44 cases, the mean age was 45.75±9.71; seven of the 44 cases were low-risk HPV, while 37 were high-risk HPV. Normal results were reported in 19.4% of ECB and 32.8% of ECC (p>0.05). Unsatisfactory results were observed in 56.3% of ECB and 37.5% of ECC (p>0.05). Low-grade epithelial abnormalities were detected more in the ECB (p=0.001). ECB was not superior to ECC in high-grade lesion detection (p>0.05).
DISCUSSION AND CONCLUSION: Low-grade lesions were diagnosed with ECB, while high-grade lesions were detected with ECC. ECB is a simple and less painful technique and can be used during unsatisfactory colposcopy in low-grade lesions, but more studies are needed.