What are the symptoms of vaginal wall bulging?

Vaginal wall prolapse is a common disease in life. Since the vagina is a very important organ, if a disease occurs, the consequences will definitely be very serious, especially the disease of vaginal wall prolapse. In daily life, we must understand the symptoms of vaginal wall protrusion and actively seek treatment. So, what are the symptoms of vaginal wall bulging? Let’s take a closer look below.

Patients with mild anterior vaginal wall prolapse have almost no symptoms, and only feel the symptoms of severe prolapse when urination is not complete. The main symptom of patients with anterior vaginal wall prolapse is vaginal shedding or related symptoms, such as frequent sensation of objects falling out of the vagina.

When the abdominal pressure increases due to labor, coughing, or exertion, or when urine accumulates in the bladder, the object will enlarge and urine will overflow; it will shrink or even disappear after resting in bed or urinating. Patients experience a feeling of vaginal fullness, a feeling of pelvic heaviness, stress urinary incontinence or a feeling of incomplete urination, lumbar pain that worsens after standing for a long time, and difficulty in sexual intercourse. Often patients need to push up on their bulging vagina to empty their urine.

Clinical classification

1. Grade I (mild): The bulging of the anterior vaginal wall has reached the edge of the hymen but has not yet protruded from the vaginal opening.

2. Grade II (moderate): Part of the anterior vaginal wall bulges out of the vaginal opening.

3. Grade III (severe): The anterior vaginal wall has completely bulged out of the vaginal opening.

Signs include vaginal mass and stress urinary incontinence. Anterior vaginal wall prolapse causes stress urinary incontinence in 39%.

When the bladder is full, the patient should first examine the external genitalia by removing the lithotomy site. If no corresponding signs are found or the maximum degree of prolapse cannot be determined, the examination should be performed in the standing position.

If no obvious prolapsed tissue is found, gently separate the labia minora to expose the vestibule and hymen, assess the integrity of the perineum, and estimate the size of the prolapsed tissue. Compressing the posterior vaginal wall with the posterior blade of the speculum helps expose the anterior vaginal wall. Then ask the patient to hold his breath or cough forcefully to observe the prolapse of pelvic organs. It also helps to distinguish between lateral wall defects and central defects. The former is manifested as the disappearance or separation of the vaginal lateral groove; while midline bulging is manifested as the presence of the vaginal lateral groove.

The above is an introduction to the symptoms of vaginal wall bulging. I hope it will be helpful for women to understand. There are many symptoms of vaginal wall protrusion. In daily life, if you find similar symptoms, you must pay enough attention to it. It is best to go to a regular hospital for diagnosis and treatment, and take daily care measures to strive for recovery as soon as possible.