Patient's question:
What detailed tests are required for uterine prolapse? I have had this condition for a long time, and medication hasn't helped either. Recently, I've been experiencing these symptoms for several days, and they haven't improved at all.Doctor's answer:
Instruct the patient to doubt urination, and position them in the lithotomy position for the bladder. During a careful examination, first ask the patient to cough or exhale forcefully to enhance abdominal pressure. Carefully observe whether urine flows from the urethral meatus to identify the type of stress incontinence. Then empty the bladder and perform a gynecological examination. First, pay attention to the condition of vaginal prolapse and uterine prolapse without straining. Also, note the condition of the external genitalia and the degree of perineal rupture. Use a speculum to carefully examine the vaginal walls and cervix for signs of pus or rectocele. During a vaginal examination, pay attention to the condition of the bilateral levator ani muscles, confirm the width of the levator ani fissure, the position of the cervix, and then determine the size of the uterus, its position in the pelvic cavity, and whether there is inflammation or tumors in the adnexa. Finally, instruct the patient to flexibly use abdominal pressure, and if necessary, they can squat.