Rectovaginal Examination

Title: Recto-Vaginal Examination: Method of Bimanual Examination of the Pelvic Organs and Abdominal Cavity

Introduction:

Rectovaginal examination (RVI) is a method of bimanual examination of the pelvic organs and some abdominal organs. This diagnostic procedure allows doctors to obtain detailed information about the condition of the vagina, rectum and adjacent organs. In this article we will consider the main aspects of this method and its clinical significance.

PVI method:

A rectal-vaginal examination is performed by inserting the fingers of one hand into the vagina and the fingers of the other hand into the rectum. To perform the procedure, the patient is usually placed in a gynecological chair, and the doctor uses special gloves and lubricant to facilitate insertion of the fingers.

Purpose of the PVI:

The main purpose of a rectovaginal examination is to assess the condition of the pelvic and abdominal organs. This method allows the doctor to assess the size, shape and consistency of organs, as well as detect the presence of possible anomalies, tumors or inflammatory processes.

Clinical significance of PVI:

Rectovaginal examination is an important diagnostic tool in gynecology and coloproctology. Using this method, doctors can identify various pathologies, such as uterine fibroids, ovarian cysts, pelvic inflammatory diseases, abnormalities of the uterus and rectum, as well as tumors of other abdominal organs.

Advantages of PVI:

Rectovaginal examination has several advantages. First, this method is a relatively simple and inexpensive diagnostic method that can be performed in an office setting. Secondly, PVI allows you to obtain additional information regarding the condition of organs, which cannot be obtained with other research methods. In addition, this method is minimally invasive and is usually well tolerated by patients.

Limitations and risks:

Although a rectovaginal examination is a relatively safe procedure, it may come with some limitations and risks. Some patients may experience discomfort or discomfort during the procedure. In addition, the clinician must be careful when performing PVI to avoid damage to the mucosa or other tissues. In the presence of inflammatory processes or infections, the infection may spread or the inflammation may increase.

Conclusion:

Rectovaginal examination is an important method for bimanual examination of the pelvic and abdominal organs. It allows doctors to obtain detailed information about the condition of the vagina, rectum and adjacent organs, detect pathologies and tumors, and assess the size, shape and consistency of organs. Despite some limitations and risks, this method is a relatively simple, inexpensive and minimally invasive diagnostic method. If a rectovaginal examination is necessary, patients should discuss the benefits and possible risks with their doctor.

Rectal-vaginal examination achieves reliable diagnosis of many inflammatory diseases of the pelvic organs (acute and chronic salpingitis), the uterus and its appendages with the widespread use of a contrast agent (survey or contrast study through the dilated cervix) or only contrast (extragenital infection). It is important to determine the presence of adhesions in the pelvis.

Diagnostic methods include determining the patency of the fallopian tubes in case of infertility. This is the most accurate method of solving the problem of infertility in a married couple. * To conduct a vaginal examination, use a vaginal speculum and bullet forceps. To exclude the possibility of damage to the vagina by speculum, a forceps test is performed in cases where the vagina is not sufficiently moistened, which makes insertion of the speculum difficult. During a vaginal examination, the size and mobility of the uterus, the condition of the fallopian tube, and the mobility of the ovaries are determined. By palpating the uterus, its location, contours, size, consistency, and displacement are determined. The uterus in a non-pregnant woman is not palpable. By its presence, disorders that arose during the postpartum period are judged. It is possible to introduce fibrin-edative paste into the endometrium to accelerate its regeneration after childbirth. It should be remembered that the uterus is easy to insert into the abdominal cavity, otherwise bleeding may occur.