Patient's question:
The aunt is a patient with high-level paraplegia. Due to sitting in a wheelchair for many years, she has severe gynecological problems. The smell can be detected even when she walks nearby. I want to help her go to the hospital for a thorough examination, but how can a completely paralyzed female patient undergo a gynecological examination? Is it the same as a normal person?Doctor's answer:
Patients with high-level paraplegia often experience urinary and fecal incontinence due to the inability to control their bladder and bowels. These conditions can lead to an increased risk of gynecological recurrence. If your aunt is experiencing these symptoms, you can take her to the gynecology outpatient department for a follow-up examination. The gynecological examination procedure for fully paralyzed patients is the same, requiring a speculum examination and gynecological ultrasound. If a disease is confirmed, targeted treatment can be provided. It is important to change paper diapers frequently and maintain dryness in the perineal area.