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Canine
Vaginal Speculum Examination
Canine Vaginoscopy
Instruments
- Human duckbill that you may get as surplus
somewhere do not work well.
- Anoscope for humans may work OK, but tend
to be too large.
- Commercial canine vaginoscopes work OK, and
some have an attached light source.
- Cut off 3 cc syringe case at the taper and
flame the end to smooth it works well in most cases. This kind
of works
- An endoscope with air insufflation works the
best or a cystoscope without air will work too.
Technique
- After many years of teaching these basic techniques, we have
come to the conclusion that the only very good effective way to
do a vaginal examination is using an endoscope or cystoscope.
- If you are going to do a vaginal culture,
do it before you do a vaginal speculum examination.
- Open vulvar lips. There is little need to
scrub the vulva.
- Lubricate the speculum with sterile
lubricant such as K-Y jelly.
- Insert the speculum up and over pelvic brim
and move cranial.
- If you need an external light source, have
it ready.
Click on the movie icon, then right click on the movie or"Open
It" and "OK" to see
a Vaginal Speculum Exam performed
- The vagina is a potential space, so it will
collapse at the end of a speculum, unless you are inflating the
vagina with air.
- Examine vaginal wall for color, and
wrinkling.
- Examine the lumen for discharges, anomalies,
foreign bodies. Watch carefully as you remove the speculum,
because interesting findings may be caudal to the end of the
speculum. Also, discharges seen coming from as far in as the
speculum will go may or may not be coming from the uterus.
- Because of the cervical anatomy, you
cannot see cervix during a normal
vaginal examination!!!! What you are seeing is probably the
vaginal walls folding over the end of the vaginoscope.
- We routinely use a cystoscope to do
transcervical insemination in the bitch. With this technique we
do see the cervix.
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contributed by Bruce
E Eilts on 20
August 2002
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