Vaginal Lumps

CLINICAL DIAGNOSTIC MANUAL

Vaginal lumps are a common concern that can arise from a variety of causes, ranging from pelvic floor support issues to malignant neoplasms.

These masses or protrusions can significantly impact women’s quality of life, causing symptoms such as pain, dyspareunia (pain during sexual intercourse), a sensation of pressure, or even urinary and bowel problems.

Proper and timely evaluation of these lumps is essential to determine the underlying cause and provide appropriate treatment.

Condition	Symptoms and Clinical Signs	Suspected Diagnosis	Confirmatory Diagnosis
Cystocele	Sensation of a lump in the vagina, urinary incontinence, urinary urgency, difficulty emptying the bladder	History of urinary symptoms, pelvic examination revealing anterior vaginal wall protrusion	Cystourethrography, transvaginal ultrasound
Urethrocele	Sensation of a mass in the vagina, dysuria, stress incontinence, difficulty initiating urination	History of urinary symptoms, physical examination	Cystourethrography, transvaginal ultrasound
Rectocele	Sensation of a lump in the vagina, difficulty defecating, need to apply pressure on the vagina to evacuate	History of bowel symptoms, pelvic examination revealing posterior vaginal wall protrusion	Defecography, transvaginal ultrasound
Enterocele	Sensation of pressure or mass in the vagina, pelvic pain, abdominal discomfort	History of pelvic symptoms, pelvic examination	Pelvic MRI, transvaginal ultrasound
Uterine Prolapse	Sensation of a lump or pressure in the vagina, urinary incontinence, dyspareunia, sensation of something falling out	History of prolapse symptoms, pelvic examination revealing uterine descent	Physical examination, transvaginal ultrasound
Vaginal Carcinoma	Mass or ulcer in the vagina, abnormal vaginal bleeding, pelvic pain, dyspareunia	History of abnormal bleeding or persistent masses, pelvic examination revealing suspicious lesion	Lesion biopsy, pelvic MRI to assess extent