Abstract
My suggestion that female patients scheduled for sigmoidoscopy have a complemental cervicovaginal examination and Papanicolaou smear was intended primarily for those individuals who had not had the latter procedures in many months or years. The examination can be swiftly and easily done and requires no additional equipment. In this study, relatively few patients had not had a recent pelvic examination, but in those examined, a significant number of pathologic lesions were found. For the sake of clarity, my quoted statement referred to a geographic rather than an anatomic location. The relative merits of sigmoidoscopy added to the gynecologic examination is not a debatable issue. I concur with Dr Burns' suggestion and endorse it. It is clear that a wide segment of the population, male as well as female, is not having routine proctosigmoidoscopic examinations. The importance of proctosigmoidoscopy cannot be overemphasized. If widely performed, it will lead to
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