The Hodge pessary is beneficial to patients with a narrow vaginal introitus
, mild cystocele, and cervical insufficiency.
Gynecologic examination revealed an irreducible mass with a sloughing surface protruding through the introitus
. At the apex a firm pale spherical mass with a different texture was noted.
Vaseem Ali, M.D., of Houston, applies 1% Xylocaine gel to the introitus
5 minutes before the exam.
Diagnosis: Clinically fishy odor mucopurulent sticky secretions that adherent to the vaginal introitus
. Gram's stain of vaginal fluid shows a decreased or absence of [H.sub.2] [O.sub.2] producing lactobacilli (Doderlein Bacilli) a saprophyte in the vagina to maintain the acid pH, which prevents the bacterial vaginosis.
The fetal posterior axilla is almost always closer to the vaginal introitus
than the fetal hand or arm, and if the posterior arm cannot be reached, it is a valuable maneuver to have in your armamentarium.
It can lead to blindness, tooth loss, obliteration of the vaginal space, labia minora agglutination, and narrowing of the introitus
, according to Dr.
Gynecological anomalies are external female genitalia, the cervix inserts in most cases low down at the superior vaginal wall close to the introitus
This inspection will identify any pelvic organ prolapse at or beyond the introitus
. However, a Pouch of Douglas hernia will be missed if the patient is not examined during Valsalva or maximal strain.
In addition to observing introital stenosis, he noted that the urethral meatus became more prominent in many women, assuming almost a tubular form and expanding to constitute up to two-thirds of the introitus
. This is not surprising, he said, because the urethra and trigone are just as heavily endowed with estrogen receptors as are the lower vagina and vulva and just as susceptible to involutional change with estrogen deficiency.
On further examination, hard stone was felt posteriorly in peritoneal cavity and was brought out through introitus
. The stone was attached with vascular pedicle (Figure 2) on further exploration it was confirmed that it was calcified left ovary with ovarian pedicle attached to it.
The white plaques surrounding her introitus
had become so severe in the past year that she was no longer able to tolerate penile penetration without tearing.
The PB is shaped roughly like a pyramid, with the base between the vaginal introitus
and the anal sphincter.