Diagnosis of Cystocele by Clinical Examination a New Technique, the De Alwis Positions

Abstract

Alwis Seneviratne

Objectives: To diagnose the cystocele and compare with the standard methods of the past.

Methods: Over a period of ten years, the cystocele was examined in the supine position, the left lateral position and the De Alwis positions, purely as clinical methods of examination.

Conclusion: The findings were that the supine and left lateral positions, displayed the cystocele adequately, but the De Alwis technique gave a better assessment of the descent of the bladder, the cervix and the rectocele, that could be measured in relation to the inferior border of the pubic bone, instead of the hymenal ring which was mobile and not suitable to be considered for accurate measurements.

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