Screening for Precancerous Cervical Lesions by Visual Inspection with Acetic Acid and Lugol in Women Undergoing Hemodialysis in A Resource-Limited Country

Fousseny Diakite; Aminata Diallo; Ibrahima Koussy Bah; Daniel Williams Athanas Leno; Moussa Traoré; Mamadou Saliou Balde; Mohamed Lamine Kaba

doi:doi:10.11648/j.jgo.20251303.12

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Screening for Precancerous Cervical Lesions by Visual Inspection with Acetic Acid and Lugol in Women Undergoing Hemodialysis in A Resource-Limited Country

Fousseny Diakite^*

, Aminata Diallo

, Ibrahima Koussy Bah, Daniel Williams Athanas Leno, Moussa Traoré, Mamadou Saliou Balde, Mohamed Lamine Kaba

Published in Journal of Gynecology and Obstetrics (Volume 13, Issue 3)

Received: 6 April 2025 Accepted: 24 April 2025 Published: 3 June 2025

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Abstract

Introduction: Women undergoing haemodialysis represent a particularly vulnerable population due to their chronically altered immune system. Visual inspection with acetic acid and lugol are alternative screening methods that have proved effective in various parts of the world. The aim of this study was to determine cervical abnormalities detected by visual inspection with acetic acid and lugol in women undergoing haemodialysis in a resource-limited country. Methods: This was a 3-month descriptive cross-sectional study from February 1 to April 30, 2024, including chronic hemodialysis women who underwent systematic visual inspection with acetic acid and lugol for suspicious cervical lesions. Data were collected by direct interview, literature review, gynecological examination including breast palpation, speculum examination. Results: Of the 83 haemodialysis patients, 90.4% had participated in the study, with the greatest number in the 36-55 age group, each accounting for 40%. A third of participants had no education (34.7%). More than half the women (54.7%) were married. The majority of participants were multigestational (62.7%), multiparous (54.7%) and 41.3% of women reported repeated genital infections. The prevalence of suspicious cervical lesions was 5.33%. Conclusion: Systematic screening with visual inspection with acetic acid and visual inspection with lugol in hemodialysis centers in Guinea could represent a major advance in the fight against cervical cancer.

Published in	Journal of Gynecology and Obstetrics (Volume 13, Issue 3)
DOI	10.11648/j.jgo.20251303.12
Page(s)	48-54
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2025. Published by Science Publishing Group

Keywords

Screening, Precancerous Lesions, Hemodialysis Patients, Guinea Conakry

References

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Cite This Article

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APA Style

Diakite, F., Diallo, A., Bah, I. K., Leno, D. W. A., Traoré, M., et al. (2025). Screening for Precancerous Cervical Lesions by Visual Inspection with Acetic Acid and Lugol in Women Undergoing Hemodialysis in A Resource-Limited Country. Journal of Gynecology and Obstetrics, 13(3), 48-54. https://doi.org/10.11648/j.jgo.20251303.12

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ACS Style

Diakite, F.; Diallo, A.; Bah, I. K.; Leno, D. W. A.; Traoré, M., et al. Screening for Precancerous Cervical Lesions by Visual Inspection with Acetic Acid and Lugol in Women Undergoing Hemodialysis in A Resource-Limited Country. J. Gynecol. Obstet. 2025, 13(3), 48-54. doi: 10.11648/j.jgo.20251303.12

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AMA Style

Diakite F, Diallo A, Bah IK, Leno DWA, Traoré M, et al. Screening for Precancerous Cervical Lesions by Visual Inspection with Acetic Acid and Lugol in Women Undergoing Hemodialysis in A Resource-Limited Country. J Gynecol Obstet. 2025;13(3):48-54. doi: 10.11648/j.jgo.20251303.12

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@article{10.11648/j.jgo.20251303.12,
  author = {Fousseny Diakite and Aminata Diallo and Ibrahima Koussy Bah and Daniel Williams Athanas Leno and Moussa Traoré and Mamadou Saliou Balde and Mohamed Lamine Kaba},
  title = {Screening for Precancerous Cervical Lesions by Visual Inspection with Acetic Acid and Lugol in Women Undergoing Hemodialysis in A Resource-Limited Country
},
  journal = {Journal of Gynecology and Obstetrics},
  volume = {13},
  number = {3},
  pages = {48-54},
  doi = {10.11648/j.jgo.20251303.12},
  url = {https://doi.org/10.11648/j.jgo.20251303.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20251303.12},
  abstract = {Introduction: Women undergoing haemodialysis represent a particularly vulnerable population due to their chronically altered immune system. Visual inspection with acetic acid and lugol are alternative screening methods that have proved effective in various parts of the world. The aim of this study was to determine cervical abnormalities detected by visual inspection with acetic acid and lugol in women undergoing haemodialysis in a resource-limited country. Methods: This was a 3-month descriptive cross-sectional study from February 1 to April 30, 2024, including chronic hemodialysis women who underwent systematic visual inspection with acetic acid and lugol for suspicious cervical lesions. Data were collected by direct interview, literature review, gynecological examination including breast palpation, speculum examination. Results: Of the 83 haemodialysis patients, 90.4% had participated in the study, with the greatest number in the 36-55 age group, each accounting for 40%. A third of participants had no education (34.7%). More than half the women (54.7%) were married. The majority of participants were multigestational (62.7%), multiparous (54.7%) and 41.3% of women reported repeated genital infections. The prevalence of suspicious cervical lesions was 5.33%. Conclusion: Systematic screening with visual inspection with acetic acid and visual inspection with lugol in hemodialysis centers in Guinea could represent a major advance in the fight against cervical cancer.
},
 year = {2025}
}

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TY  - JOUR
T1  - Screening for Precancerous Cervical Lesions by Visual Inspection with Acetic Acid and Lugol in Women Undergoing Hemodialysis in A Resource-Limited Country

AU  - Fousseny Diakite
AU  - Aminata Diallo
AU  - Ibrahima Koussy Bah
AU  - Daniel Williams Athanas Leno
AU  - Moussa Traoré
AU  - Mamadou Saliou Balde
AU  - Mohamed Lamine Kaba
Y1  - 2025/06/03
PY  - 2025
N1  - https://doi.org/10.11648/j.jgo.20251303.12
DO  - 10.11648/j.jgo.20251303.12
T2  - Journal of Gynecology and Obstetrics
JF  - Journal of Gynecology and Obstetrics
JO  - Journal of Gynecology and Obstetrics
SP  - 48
EP  - 54
PB  - Science Publishing Group
SN  - 2376-7820
UR  - https://doi.org/10.11648/j.jgo.20251303.12
AB  - Introduction: Women undergoing haemodialysis represent a particularly vulnerable population due to their chronically altered immune system. Visual inspection with acetic acid and lugol are alternative screening methods that have proved effective in various parts of the world. The aim of this study was to determine cervical abnormalities detected by visual inspection with acetic acid and lugol in women undergoing haemodialysis in a resource-limited country. Methods: This was a 3-month descriptive cross-sectional study from February 1 to April 30, 2024, including chronic hemodialysis women who underwent systematic visual inspection with acetic acid and lugol for suspicious cervical lesions. Data were collected by direct interview, literature review, gynecological examination including breast palpation, speculum examination. Results: Of the 83 haemodialysis patients, 90.4% had participated in the study, with the greatest number in the 36-55 age group, each accounting for 40%. A third of participants had no education (34.7%). More than half the women (54.7%) were married. The majority of participants were multigestational (62.7%), multiparous (54.7%) and 41.3% of women reported repeated genital infections. The prevalence of suspicious cervical lesions was 5.33%. Conclusion: Systematic screening with visual inspection with acetic acid and visual inspection with lugol in hemodialysis centers in Guinea could represent a major advance in the fight against cervical cancer.

VL  - 13
IS  - 3
ER  -

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Author Information

Fousseny Diakite

Faculty of Health Sciences and Technology, Gamal Abdel Nasser University, Conakry, Guinea Donka National Hemodialysis Center, Donka National Hospital, Conakry, Guinea

Contact Email

http://orcid.org/0000-0001-6531-0403
Aminata Diallo

Donka National Hemodialysis Center, Donka National Hospital, Conakry, Guinea

Contact Email

http://orcid.org/0009-0007-9581-550X
Ibrahima Koussy Bah

Faculty of Health Sciences and Technology, Gamal Abdel Nasser University, Conakry, Guinea Obstetrics and Gynecology Department, Ignace Deen National Hospital, Conakry, Guinea

Contact Email
Daniel Williams Athanas Leno

Faculty of Health Sciences and Technology, Gamal Abdel Nasser University, Conakry, Guinea Obstetrics and Gynecology Department, Donka National Hospital, Conakry, Guinea

Contact Email
Moussa Traoré

Faculty of Health Sciences and Technology, Gamal Abdel Nasser University, Conakry, Guinea Donka National Hemodialysis Center, Donka National Hospital, Conakry, Guinea

Contact Email
Mamadou Saliou Balde

Faculty of Health Sciences and Technology, Gamal Abdel Nasser University, Conakry, Guinea Donka National Hemodialysis Center, Donka National Hospital, Conakry, Guinea

Contact Email
Mohamed Lamine Kaba

Faculty of Health Sciences and Technology, Gamal Abdel Nasser University, Conakry, Guinea Donka National Hemodialysis Center, Donka National Hospital, Conakry, Guinea

Contact Email

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Plain Text BibTeX RIS

APA Style

Diakite, F., Diallo, A., Bah, I. K., Leno, D. W. A., Traoré, M., et al. (2025). Screening for Precancerous Cervical Lesions by Visual Inspection with Acetic Acid and Lugol in Women Undergoing Hemodialysis in A Resource-Limited Country. Journal of Gynecology and Obstetrics, 13(3), 48-54. https://doi.org/10.11648/j.jgo.20251303.12

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ACS Style

Diakite, F.; Diallo, A.; Bah, I. K.; Leno, D. W. A.; Traoré, M., et al. Screening for Precancerous Cervical Lesions by Visual Inspection with Acetic Acid and Lugol in Women Undergoing Hemodialysis in A Resource-Limited Country. J. Gynecol. Obstet. 2025, 13(3), 48-54. doi: 10.11648/j.jgo.20251303.12

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AMA Style

Diakite F, Diallo A, Bah IK, Leno DWA, Traoré M, et al. Screening for Precancerous Cervical Lesions by Visual Inspection with Acetic Acid and Lugol in Women Undergoing Hemodialysis in A Resource-Limited Country. J Gynecol Obstet. 2025;13(3):48-54. doi: 10.11648/j.jgo.20251303.12

Copy | Download

@article{10.11648/j.jgo.20251303.12,
  author = {Fousseny Diakite and Aminata Diallo and Ibrahima Koussy Bah and Daniel Williams Athanas Leno and Moussa Traoré and Mamadou Saliou Balde and Mohamed Lamine Kaba},
  title = {Screening for Precancerous Cervical Lesions by Visual Inspection with Acetic Acid and Lugol in Women Undergoing Hemodialysis in A Resource-Limited Country
},
  journal = {Journal of Gynecology and Obstetrics},
  volume = {13},
  number = {3},
  pages = {48-54},
  doi = {10.11648/j.jgo.20251303.12},
  url = {https://doi.org/10.11648/j.jgo.20251303.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20251303.12},
  abstract = {Introduction: Women undergoing haemodialysis represent a particularly vulnerable population due to their chronically altered immune system. Visual inspection with acetic acid and lugol are alternative screening methods that have proved effective in various parts of the world. The aim of this study was to determine cervical abnormalities detected by visual inspection with acetic acid and lugol in women undergoing haemodialysis in a resource-limited country. Methods: This was a 3-month descriptive cross-sectional study from February 1 to April 30, 2024, including chronic hemodialysis women who underwent systematic visual inspection with acetic acid and lugol for suspicious cervical lesions. Data were collected by direct interview, literature review, gynecological examination including breast palpation, speculum examination. Results: Of the 83 haemodialysis patients, 90.4% had participated in the study, with the greatest number in the 36-55 age group, each accounting for 40%. A third of participants had no education (34.7%). More than half the women (54.7%) were married. The majority of participants were multigestational (62.7%), multiparous (54.7%) and 41.3% of women reported repeated genital infections. The prevalence of suspicious cervical lesions was 5.33%. Conclusion: Systematic screening with visual inspection with acetic acid and visual inspection with lugol in hemodialysis centers in Guinea could represent a major advance in the fight against cervical cancer.
},
 year = {2025}
}

Copy | Download

TY  - JOUR
T1  - Screening for Precancerous Cervical Lesions by Visual Inspection with Acetic Acid and Lugol in Women Undergoing Hemodialysis in A Resource-Limited Country

AU  - Fousseny Diakite
AU  - Aminata Diallo
AU  - Ibrahima Koussy Bah
AU  - Daniel Williams Athanas Leno
AU  - Moussa Traoré
AU  - Mamadou Saliou Balde
AU  - Mohamed Lamine Kaba
Y1  - 2025/06/03
PY  - 2025
N1  - https://doi.org/10.11648/j.jgo.20251303.12
DO  - 10.11648/j.jgo.20251303.12
T2  - Journal of Gynecology and Obstetrics
JF  - Journal of Gynecology and Obstetrics
JO  - Journal of Gynecology and Obstetrics
SP  - 48
EP  - 54
PB  - Science Publishing Group
SN  - 2376-7820
UR  - https://doi.org/10.11648/j.jgo.20251303.12
AB  - Introduction: Women undergoing haemodialysis represent a particularly vulnerable population due to their chronically altered immune system. Visual inspection with acetic acid and lugol are alternative screening methods that have proved effective in various parts of the world. The aim of this study was to determine cervical abnormalities detected by visual inspection with acetic acid and lugol in women undergoing haemodialysis in a resource-limited country. Methods: This was a 3-month descriptive cross-sectional study from February 1 to April 30, 2024, including chronic hemodialysis women who underwent systematic visual inspection with acetic acid and lugol for suspicious cervical lesions. Data were collected by direct interview, literature review, gynecological examination including breast palpation, speculum examination. Results: Of the 83 haemodialysis patients, 90.4% had participated in the study, with the greatest number in the 36-55 age group, each accounting for 40%. A third of participants had no education (34.7%). More than half the women (54.7%) were married. The majority of participants were multigestational (62.7%), multiparous (54.7%) and 41.3% of women reported repeated genital infections. The prevalence of suspicious cervical lesions was 5.33%. Conclusion: Systematic screening with visual inspection with acetic acid and visual inspection with lugol in hemodialysis centers in Guinea could represent a major advance in the fight against cervical cancer.

VL  - 13
IS  - 3
ER  -

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