17th August 2023

A 70-year-old woman presents to the gynaecology clinic with a sensation of a bulge in her vagina

A 70-year-old woman presents to the gynaecology clinic with a sensation of a bulge in her vagina, especially noted on straining. She reports occasional urinary incontinence when coughing or sneezing. She has had three vaginal deliveries in the past. On examination, a protrusion is observed from the anterior vaginal wall when she is asked to strain.

What is the most likely diagnosis?