Colposcopy and Vulvoscopy
What we do
We are a specialist service for examining women who have problems affecting the vulva or cervix. We do this with a specially designed medical microscope called a colposcope.
A colposcopy is an examination of the cervix. We see women who have had abnormal smear test results, as well as those who have signs and symptoms of pre-cancerous changes to their cervix.
If your smear test results show abnormalities, you should not be alarmed. It is very rare for an abnormal smear to show cancer, however it can be an early warning sign that cancer might occur in the future.
We provide treatments under local anaesthetic to remove or destroy the abnormal area. Not all women will need treatment as some abnormalities return to normal without any intervention but it is very important that we see you regularly until this happens.
A vulvoscopy is an examination of the vulva. We examine women who have abnormalities on the vulval skin surrounding the vagina as well as those who have signs and symptoms of pre-cancerous changes to their vulva.
If your vulvoscopy shows abnormalities, you should not be alarmed; it is very rare to be diagnosed with vulval cancer, however these abnormalities can be an early warning sign that cancer might occur in the future.
We may need to take one or two samples of vulval tissue (vulval biopsy) under local anaesthetic to investigate the abnormal area. Not all women will need treatment as some abnormalities return to normal without any intervention but it is very important that we see you regularly until this happens.
Suite 8, Third Floor, Golden Jubilee Wing, King’s College Hospital, Denmark Hill, London, SE5 9RS
- Team Co-ordinator: +44 (0)20 3299 3651
- Team Office: +44 (0)20 3299 2864
Patient information leaflets
Conditions we treat
Refer women for colposcopy if they have:
- three inadequate smears
- one borderline smear with high risk HPV detected
- one mildly abnormal smear with high risk HPV detected
- one moderately abnormal smear
- one severely abnormal smear
- one smear with possible invasion
- one smear with possible glandular neoplasia
- a low grade smear after treatment for CIN with high risk HPV detected
- one normal smear with high risk HPV detected after treatment.
Refer women for vulvoscopy if they have:
- an abnormal appearance of the vulva, including asymmetry, lesions, irregularity, warts
- vulval itching, irritation or pain, including vulvodynia
- bleeding or discharge from the vulva
- lichen sclerosis or planus
- vulval intraepithelial neoplasia (VIN)
- Paget’s disease.
What is required before referring a patient
Please complete the relevant form and note any pre-consultation investigations required.
Booking a patient at King’s
Appointments for this service are either made:
- via the Colposcopy and Vulvoscopy Office
- or as a direct referral from the cervical screening service.
For routine referrals, please complete the referral form below and email to:
For suspected cancer use the 2 week wait referral pathway.
For advice and guidance on routine and urgent referrals, phone 020 3299 2864.
|Colposcopy referral form – King’s College Hospital||230 KB|
Key Clinical Staff
|Mrs Winnie Budu-Larbi||Nurse Colposcopist|
|Mx Iohana Lepsa||Colposcopy Nurse|
|Dr Nisrin Marcus||Colposcopy Lead & Colposcopy Trainer.|
|Ms Trish Wood||CNS Colposcopy|