VIA procedure Ė Steps for inspection of the external genitalia
- Inspect the external genitalia and the perineal region for any signs of excoriations, oedema, white or red patches, vesicles, papules, sores, ulceration, warts, and growths.
- Spread the labia minora gently, and check for any fleshy mass, discharge, or bleeding from the urethral opening or the introitus.
- In some women the uterus may slip down from its normal position because of laxity of the muscles and ligaments that support the uterus. In such a situation, the cervix may be seen protruding through the vaginal opening or may lie completely outside the vagina. This condition is known as uterovaginal prolapse.
- Women with long-standing prolapse can present with ulcers on the prolapsed tissue. These are known as decubitus ulcers. A decubitus ulcer has a raw, smooth surface with sharply defined margins.
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