How a Vaginal Wall Prolapse is Diagnosed

16/02/2012 03:25

The problems arising from female genital prolapse have led to the design and production of surgical mesh devices that did not even pass through human testing. In the absence of clinical trials, many women are wondering if the U.S. Food and Drug Administration (FDA) has planned for a vaginal mesh recall.

The world is looking closely at the latest issues affecting women’s health. One of these debilitating problems is vaginal wall prolapse. As the name suggests, it is characterized by the abnormal movement of the vaginal wall from its original position. Of all types of pelvic organ prolapse (POP), vaginal wall prolapse by far remains the most difficult to diagnose.
As is common in most medical conditions, diagnosing a vaginal wall prolapse needs a comprehensive review of the patient’s health background and a careful physical examination. But, since vaginal wall prolapse hardly manifest any symptoms until it is in the severe stage, the doctor will do more than the standard pelvic inspection.
Vaginal Mesh Recall
Most patients are ashamed to discuss their symptoms with their doctors. However, the disclosure even of the mildest discomforts may help the doctor identify the extent of the p
rolapse (if indeed there is one). Detailed descriptions of the symptoms may also help determine other pelvic organ prolapse that the patient may have as well.
One procedure that may help is the Q-tip cotton swab test which may be done by the doctor through inserting an applicator with a sterile gel into the urethra. The patient will be asked to either cough or strain like in voiding. Through this test, the doctor checks the presence of stress urinary incontinence (SUI) and the need for surgery. Other than this, the physician will also assess the strength of the pelvic muscles.
In advanced prolapse, magnetic resonance imaging (MRI) may be of biggest help. This provides a three-dimensional image of the pelvis which would make the visualization of any abnormality found in the pelvic region clearer. Ultrasound may also be done, but since MRI readings are more elaborate and reliable, patients and doctors often choose this diagnostic procedure.
The early identification of vaginal wall prolapse is significant for a successful medical and surgical treatment. In the past few years, there are only few options available for women. As a matter of fact, even the most modern approach such as the vaginal mesh does not ensure a safer and more successful surgery. In view of this, the makers of these devices are facing vaginal mesh lawsuit from some of its customers.
References: and Tests