An illuminated vaginal speculum,

Examination of patients with genital prolapse in the dorsal supine position may be improved with the use of an illuminated vaginal speculum. Combining the light source of a laryngoscope with the blade of a Sims’ speculum enables the vaginal walls to be carefully inspected at rest or during a Valsalva maneuver. Detection of loss of rugosity of the vaginal walls and defects in the pubocervical or rectovaginal fasciae may be facilitated with this instrument. (Am J Obstet Gynecol 1999;180:33-4.)