Instructions
You are a medical student on placement in general practice. Elaine Blackwood, 62, has had a dragging feeling and a bulge at the vaginal opening for a year, worse by evening and after gardening. The GP has taken a history and examined her.
Explain the diagnosis and the management plan to Mrs Blackwood
- You do not need to take a history or examine the patient
GP examination
Anterior vaginal wall descends to the hymen on straining (stage 2). Posterior wall and cervix well supported. Atrophic tissue. Leaks a little with coughing.
Urine
Dipstick normal. Post-void residual 40 mL.