<s>[INST] Vaginal hysterectomy was performed in 2009 with removal of uterus and cervix. Recent vaginal spotting caused concern and an ultrasound was performed. Ultrasound report states: exophytic hypoechoic mass lesion arising from the vaginal wall interposed between the vaginal cuff and the posterior aspect of the urinary bladder wall. This measures 4.4cm and demonstrates vascularity. There is a closely adjacent smaller lesion measuring 1.5cm. Gynecologist recommends removal of lesion. Should further testing or imaging be done to determine any other conditions or should a second opinion be sought to see if other options are available? [/INST] Hello me, Good noon, Mem, I read your history thoroughly n you said that that lesion is clearly diagnosed by imaging test n other histopathological examination... Now I don't think that you should do it again for confirmation n second opinion that you have that lesion or not... You have problem that you cannot accept it that you have that lesion after surgery...but this is fact that you have...n every investigation are positive again if you did repeat them n just waste your money... N I am also sure that your gynecologist also provide all option suitable for lesion n your health condition...so keep faith IIN your doctor n just go through his advice if you are anxious n cannot adjust with n have excessive thought about that than you should consult psychiatric physician also...they help to reduce anxiety about lesion n surgery... Even I think you are diagnosed in early stages so just remove that lesion as it is vascular n may be malignant n still it in low grade n not spread in other sites... Once spread other site that it is difficult to treat... </s>