Sims Speculum Examination is an important skill for medical students and doctors. This article presents a comprehensive, concise and evidence-based approach to the use of the Sims Speculum which is consistent with The Principles of Clinical Examination [1]. We describe the signs of pelvic organ prolapse and based on a review of the literature, the precision and accuracy of these signs is discus...

OBJECTIVE To compare patients' acceptance of and correlate their pain level for bimanual versus metal speculum fixation in intravitreal injections. DESIGN Prospective analysis. PARTICIPANTS Seventy-three eyes of 56 patients. METHODS A questionnaire indicating patients' discomfort and pain grading immediately after intravitreal injections using either bimanual fixation or metal speculum fi...

AIMS The study aimed to: a) determine reliability of an instrumented speculum designed for measuring intravaginal closure pressure, and b) compare findings with a comparable device reported in the literature. The goal of these new devices is to reduce subjectivity, improve precision, and acknowledge reliability issues in quantifying levator ani closure force acting on the vagina. METHODS The ...

We aimed to evaluate whether the use of a speculum blade modifies the evaluation of pelvic organ prolapse (POP) as assessed by dynamic magnetic resonance imaging (MRI). Twenty-seven women with POP Quantification (POPQ) stage II or greater, scheduled for POP surgery, were evaluated using MRI. The procedure was repeated using the posterior blade of a standard plastic Grave's speculum to successiv...