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Vaginal bulge may be pelvic organ prolapse.(Gynecology)
SAN DIEGO -- When a patient reports that she has a bulge in the vaginal region, her symptoms may indicate that she has experienced a pelvic organ prolapse.
Any woman with suspected prolapse deserves a careful exam, Dr. Jasmine Tan said during a poster presentation at the joint annual meeting of the American Urogynecologic Society and the Society of Gynecologic Surgeons.
Dr. Tan reported on findings from a 51-item standardized questionnaire completed by 1,912 women used at three female pelvic floor disorder clinics. The questionnaire contained the following three questions related to pelvic organ prolapse:
* Do you ever have to push tissue back in the vagina to urinate?
* Do you have to use your fingers in the vagina, on the perineum, or in the rectum to have a bowel movement?
* Do you ever feel a bulge or that something is "falling out" of the vagina?
Prolapse was assessed with the standardized Pelvic Organ Prolapse Quantification (POPQ) staging system created by the International Continence Society, said Dr. Tan of the department of reproductive medicine at the University of California, San Diego.
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