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Abstract gynecological O;Je~J.;lOn (Coulter et al., 1991}. the ::rocedure hc..s partic:Jlarly if the presentalion is \\’ith irrcgc.lz.:- ~;:.g:r~2.l , . ’ . . 1r~ v.·on1~:1 reter:-e2 \:.·n~ :-:ler-:tst~’Jc.:, disturb:crce u’1der the ag:e of --’0 ’ec.rs fSicke/sen. 1986!. Although a simple pro:edure. \·et n :ames risks o~ incompetent isthrr;us (Smith and Schulman 19851. c.ls-:::. :ell :isL :,f gene~e:l ZtGaes::-;esi::c :Sto~·all eta[ .. 19911 DibpZtn \\as dew loped based on the struc:ure ot ::y:ce:n |