Symptomatic Vaginal Masses Mimicking Prolapse: Varied Clinical Course, Diagnosis and Their Management.

Objective: The objective of this study was to study the different clinical presentation of symptomatic vaginal masses and outcomes of patients with important implications for surveillance, monitoring and management. Methods: This was a retrospective chart review of 20 patients at a tertiary care centre with symptomatic vaginal masses other than prolapse presented between May 2021 and October 2023. Patients were included if they had symptomatic vaginal masses other than prolapse and underwent treatment for the same. Data were analysed by statistical software Stata 14.0. Descriptive statistics were computed to summarize the frequency of demographic and clinical variables. Quantitative variable expressed as mean ± SD (standard deviation) and median (minimum-maximum). Categorical variable expressed as frequency and percentage. Results: The median age of the patients included in the analysis was 39.5 years old. A total of 15 patients underwent surgical management, which included vaginal excision or marsupialization, and 5 were conservatively managed. Presenting symptoms included feeling of a mass or bulge in 12 (60%) of patients, urinary complaint ( Conclusion: Vaginal masses are rare and often asymptomatic, but may present with varied clinical symptoms. They can be managed conservatively and surgically with good outcome. Follow-up is very essential to understand different clinical symptoms of vaginal masses.