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A rectovaginal examination is a type of gynecological examination used to supplement a pelvic examination. In the rectovaginal examination, a doctor or other health care provider places one finger in the vagina and another in the rectum to assess the rectovaginal septum. The examiner will look for any scarring or masses that may indicate cancer ...
A pelvic examination is the physical examination of the external and internal female pelvic organs. [1] It is frequently used in gynecology for the evaluation of symptoms affecting the female reproductive and urinary tract, such as pain, bleeding, discharge, urinary incontinence, or trauma (e.g. sexual assault).
Cul-de-sac hernias are the most difficult to diagnose during physical examination, and to distinguish from anterior rectocele or enterocele. [2] Furthermore, rectocele and cul-de-sac hernia may occur together. [3] Combined vaginal and rectal digital palpation may be used (examiner's thumb in vagina, index finger in anal canal). [11]
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The purpose of this exam is to palpate or feel the pelvic organs. The index and middle finger are inserted into the vagina. This maneuver allows the doctor to palpate the vagina for any deep lacerations, masses, or nodularity. Next, the cervix is palpated to check position, size, consistency, and mobility. [13]
This page was last edited on 17 April 2015, at 04:09 (UTC).; Text is available under the Creative Commons Attribution-ShareAlike 4.0 License; additional terms may ...
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The doctor places his index finger in the rectum, and the thumb (or index finger of the other hand) in the vagina, while the patient is standing and / or straining. [1] [4] If an enterocele is present, the hernia sac will come down into the rectovaginal space, between the rectum and the vagina, when the patient strains. [1]