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In the context of gynecological examination of the female dog, vaginal cytology plays an important role. While collection and preparation of samples are easy, the evaluation of smears appears to be challenging. Inconsistent definitions of cell characteristics such as size, cornification and the appearance of the nucleus have been published. The aim of the project was to develop revised definitions of vaginal cells and a tutorial for cell determination.
To get a deeper insight into the use of cytology in veterinary practice, an online survey was distributed to colleagues interested in small animal reproduction. Participants were asked to define eight cells and answer questions. The agreement of the sixteen participants determining the cells was poor (k= 0.398). Eleven respondents were of the opinion that vaginal cytology has a low reliability. Nevertheless, thirteen participants stated to use this tool regularly.
Based on the feedback of the survey participants, information from scientific literature and own measurements, revised definitions of vaginal cells have been developed. In addition, a tutorial has been designed as a flowchart. It guides the user systematically through the evaluation of specific cell characteristics. An evaluation of the results of five raters with different experience levels led to a high agreement (k=0.858).
Vaginal cytology is a useful diagnostic tool in terms of cycle staging and gynecological disorders, but it seems helpful to standardize cell types.