Efficacy of Thermo-Coagulation as a Treatment Modality for Cervical Intraepithelial Neoplasia-1 and Cervical Intraepithelial Neoplasia-2 Lesions
Abstract
Introduction: Thermo-coagulation/thermal ablation (TA) is increasingly used for treatment of precancerous cervical lesions (cervical intraepithelial neoplasia [CIN]). Compared with cryotherapy, it offers: Portable and lightweight equipment, Shorter treatment duration, Less patient discomfort, Minimal electricity requirement, Faster patient turnover, Less posttreatment vaginal discharge, Comparable efficacy. Objectives: To assess the efficacy, safety, acceptability, and patient satisfaction of TA in women with CIN To determine the prevalence of CIN among women attending the Gynecology OPD at NSCB Medical College, Jabalpur, using: PAP smear Visual inspection with acetic acid (VIA) Colposcopy for screen-positive women. Methodology: Women positive on PAP smear/VIA underwent colposcopy Eligible women received TA Follow-up was conducted at 1 month, 3 months, 6 months, and 1 year Outcomes assessed: Symptoms before and after treatment Reid Colposcopic Index (RCI) score Patient satisfaction Adverse effects. Results: Total women treated with TA: 23 Follow-up rate: 82.6% Higher educational status was associated with better follow-up 78.3% of women showed good acceptance of the procedure No serious adverse events requiring hospitalization were reported Estimated cure rate: 82.5% Nearly all women were satisfied with the treatment. Conclusion: Thermal ablation is: Safe Effective Well accepted by patients. It can be effectively incorporated into: Single-visit “screen-and-treat” programs ”See-and-treat” approaches for cervical cancer prevention and control.
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BibTeX
@article{khandelwal2026efficacy,
title = {{Efficacy of Thermo-Coagulation as a Treatment Modality for Cervical Intraepithelial Neoplasia-1 and Cervical Intraepithelial Neoplasia-2 Lesions}},
author = {Rakshita Khandelwal and Nehal Singh and Kirti Patel and Sonal Sahni and Kavita N. Singh},
journal = {Journal of Primary Care Specialties},
year = {2026},
month = sep,
doi = {10.4103/jopcs.jopcs_21_26},
url = {https://doi.org/10.4103/jopcs.jopcs_21_26},
note = {CC BY-NC-SA},
}
RIS
TY - JOUR
TI - Efficacy of Thermo-Coagulation as a Treatment Modality for Cervical Intraepithelial Neoplasia-1 and Cervical Intraepithelial Neoplasia-2 Lesions
AU - Rakshita Khandelwal
AU - Nehal Singh
AU - Kirti Patel
AU - Sonal Sahni
AU - Kavita N. Singh
PY - 2026
DA - 2026/09/01
JO - Journal of Primary Care Specialties
DO - 10.4103/jopcs.jopcs_21_26
UR - https://doi.org/10.4103/jopcs.jopcs_21_26
AB - Introduction: Thermo-coagulation/thermal ablation (TA) is increasingly used for treatment of precancerous cervical lesions (cervical intraepithelial neoplasia [CIN]). Compared with cryotherapy, it offers: Portable and lightweight equipment, Shorter treatment duration, Less patient discomfort, Minimal electricity requirement, Faster patient turnover, Less posttreatment vaginal discharge, Comparable efficacy. Objectives: To assess the efficacy, safety, acceptability, and patient satisfaction of TA in women with CIN To determine the prevalence of CIN among women attending the Gynecology OPD at NSCB Medical College, Jabalpur, using: PAP smear Visual inspection with acetic acid (VIA) Colposcopy for screen-positive women. Methodology: Women positive on PAP smear/VIA underwent colposcopy Eligible women received TA Follow-up was conducted at 1 month, 3 months, 6 months, and 1 year Outcomes assessed: Symptoms before and after treatment Reid Colposcopic Index (RCI) score Patient satisfaction Adverse effects. Results: Total women treated with TA: 23 Follow-up rate: 82.6% Higher educational status was associated with better follow-up 78.3% of women showed good acceptance of the procedure No serious adverse events requiring hospitalization were reported Estimated cure rate: 82.5% Nearly all women were satisfied with the treatment. Conclusion: Thermal ablation is: Safe Effective Well accepted by patients. It can be effectively incorporated into: Single-visit “screen-and-treat” programs ”See-and-treat” approaches for cervical cancer prevention and control.
SN - 2772-3615
SN - 2772-3623
ER -