A 24 year old presents to the office with a painful lump on…

A 24 year old presents to the office with a painful lump on her right vulva. She can barely walk because of the pain. She is currently sexually active and has had a total of 6 partners in life. She is otherwise healthy. What do you expect to see on exam?

A 70 year-old woman, gravida 2, para 2, presents with a wors…

A 70 year-old woman, gravida 2, para 2, presents with a worsening bulge in her vagina over the last several months. The bulging is less noticeable in the morning, but becomes more pronounced with accompanying low back pain throughout the day. Her medical history is significant for hypertension and diet controlled diabetes. She has never had surgery. She delivered two term infants vaginally, with the largest weighing 8 pounds 10 ounces. On examination, she is 6’3” and 106 pounds. She has a soft mass protruding through the vagina with bearing down. What is the most definitive  treatment for her condition?