An illuminated vaginal speculum

Area of Science:

• Gynecology
• Medical Device Innovation

Background:

• Genital prolapse diagnosis requires careful examination of pelvic structures.
• Standard examination techniques may have limitations in visualizing subtle defects.

Purpose of the Study:

• To introduce and evaluate an illuminated vaginal speculum for improved genital prolapse examination.
• To enhance the detection of vaginal wall changes and fascial defects.

Main Methods:

• A modified Sims' speculum integrated with a laryngoscope light source was developed.
• The instrument was used for vaginal wall inspection in the dorsal supine position.
• Examination was performed both at rest and during a Valsalva maneuver.

Main Results:

• The illuminated speculum facilitates detailed inspection of vaginal walls.
• It aids in identifying loss of rugosity and fascial defects (pubocervical and rectovaginal).
• Improved visualization enhances diagnostic accuracy for genital prolapse.

Conclusions:

• The illuminated vaginal speculum is a valuable tool for improving genital prolapse diagnosis.
• This innovation offers better visualization of key anatomical structures during pelvic exams.
• It assists clinicians in detecting subtle signs of pelvic organ prolapse.