CLINICAL DIAGNOSTIC MANUAL
Vaginal lumps are a common concern that can arise from a variety of causes, ranging from pelvic floor support issues to malignant neoplasms. These masses or protrusions can significantly impact women’s quality of life, causing symptoms such as pain, dyspareunia (pain during sexual intercourse), a sensation of pressure, or even urinary and bowel problems.
Condition | Symptoms and Clinical Signs | Suspected Diagnosis | Confirmatory Diagnosis |
|---|---|---|---|
Cystocele | Sensation of a lump in the vagina, urinary incontinence, urinary urgency, difficulty emptying the bladder | History of urinary symptoms, pelvic examination revealing anterior vaginal wall protrusion | Cystourethrography, transvaginal ultrasound |
Urethrocele | Sensation of a mass in the vagina, dysuria, stress incontinence, difficulty initiating urination | History of urinary symptoms, physical examination | Cystourethrography, transvaginal ultrasound |
Rectocele | Sensation of a lump in the vagina, difficulty defecating, need to apply pressure on the vagina to evacuate | History of bowel symptoms, pelvic examination revealing posterior vaginal wall protrusion | Defecography, transvaginal ultrasound |
Enterocele | Sensation of pressure or mass in the vagina, pelvic pain, abdominal discomfort | History of pelvic symptoms, pelvic examination | Pelvic MRI, transvaginal ultrasound |
Uterine Prolapse | Sensation of a lump or pressure in the vagina, urinary incontinence, dyspareunia, sensation of something falling out | History of prolapse symptoms, pelvic examination revealing uterine descent | Physical examination, transvaginal ultrasound |
Vaginal Carcinoma | Mass or ulcer in the vagina, abnormal vaginal bleeding, pelvic pain, dyspareunia | History of abnormal bleeding or persistent masses, pelvic examination revealing suspicious lesion | Lesion biopsy, pelvic MRI to assess extent |
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