Whatever the screening frequency, in both strategies, about 50% of costs were related to Self-HPV testing, while for the Self-HPV/VIA strategy, triage accounted for approximately 1% of costs. At equal frequencies, costs of precancerous treatment were higher in Self-HPV than Self-HPV/VIA strategies, due to high overtreatment rate of CIN1 in the absence of triaging. The costs of cancer treatment were comparable in both strategies. Conclusion Cost-effectiveness depends on the type and frequency of screening. These results may support decision-makers in selecting adequate screening strategies and frequencies according to their willingness to pay per QALY gained.

effects, and improved self-care irrespective of age, partner status, or stage of disease. Women´s fear of cancer spread should be a central part of counselling at the time of diagnosis.

2022-VA-445-ESGO Figure 1 Conclusion We highlight in this video the identification and systematization of the most important anatomical structures and landmarks located in the presacral region with the aim of achieving a safe dissection during gynecologic cancer procedures.

ConclusionIf the HPV type is not HPV 16 or 18 and the cytology test is normal, co-test is recommended after 1 year. In this study, similar colposcopic biopsy results were found in other high-risk HPV positive cases. When colposcopy is applied widely, more preinvasive disease will be detected in HPV positive cases.