Transrectal Ultrasound and 3D Transabdominal Ultrasound in comparison to vaginoscopy in Virgins with suspected genital tract lesions

Abstract

irginity is considered as a sign of sexual purity in many societies, and damage to the hymen carries with its serious social implications for patients (AlBareg, 2019). Postpubertal teenage girls, religious women such as nuns, and women in some countries tend to be virgin. This situation must be respected by medical professionals. But when a vaginal examination is necessary, virginity might be a limiting factor for the gynecologist in diagnosis and treatment (Kucuk, 2007). Agenesis of the vagina and a virginal introitus are some of the more common situations in which TVS is not possible or is relatively contraindicated. In such cases introducing a commercially available vaginal probe through the anal sphincter into the rectum seems to be a reasonable alternative to image the female pelvic structures within ‘reach’ of the probe. Transrectal scanning could be used liberally after proper patient selection and counseling (Timor et al., 2003).