Management of female prisoners with abnormal cervical cytology

Women prisoners are at higher risk of developing cervical neoplasia and cervical cancer than is the general population.1,2 Her Majesty's Prison Holloway offers all women a health check on admission, which includes screening for sexually transmitted diseases and abnormal cervical cytology. [...]the current policy of biopsy and subsequent ablation or conisation resulted in overtreatment of 23 women if the same criteria were used. [...]introducing a "see and treat" policy would result in a further 23 (15.2%) "unnecessary" conisations.