Pelvic Examination for Urologists
The physical examination is presented as a checklist with possible (pathological) results. Special important attention is given to important findings for urologists. A complete gynecological examination is not presented.
Patient Positioning for Pelvic Examination
The pelvic examination is performed in lithotomy position. It starts with the inspection using the help of 1–2 specula. The inspection is followed by palpation and, if necessary, microbiological swabs are done. The presence of female assistance is important for forensic reasons.
Urethra:
Position of the meatus? Indurations? Tumor? Urine loss under Valsalva or cough?
Vulva:
Pattern of body hair? Cutaneous conditions: redness? Swelling? Rash? Leukoplakia or tumor?
Vagina:
Vaginal discharge? Cystocele or rectocele under Valsalva? Organ descensus should be quantified using ICS recommendations.
Cervix:
Discharge? Transformation zone with leukoplakia or tumor? Palpable induration or tumor? Bimanual palpation of the uterus and adnexa: Tumor? Cervical motion tenderness?
Anus:
Hemorrhoids? Anal fissure? Sphincter tone? Blood on the glove? Rectal tumor?
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Deutsche Version: Vaginale Untersuchung
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Dr. med. Dirk Manski
man...@urologielehrbuch.de