Valsalva Shows Isolated Posterior in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#11019
SMLE Question #11019
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 64-year-old postmenopausal woman has 1 year of constipation and incomplete evacuation. She often inserts a finger into the vagina to press the posterior vaginal wall to pass stool. She denies urinary incontinence or an anterior vaginal bulge. Pelvic examination with Valsalva shows an isolated posterior vaginal wall bulge; the uterus is well supported and the anterior vaginal wall is normal. What is the most appropriate definitive treatment?
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