Affected people may injure themselves in attempts to be rid of the "parasites"; resulting skin damage includes excoriation, bruising and cuts, as well as damage caused from using chemical substances and obsessive cleansing routines.A "preceding event such as a bug bite, travel, sharing clothes, or contact with an infected person" is often identified by individuals with DP; such events may lead the individual to misattribute symptoms because of more awareness of symptoms they were previously able to ignore. Nearly any marking upon the skin, or small object or particle found on the person or their clothing, can be interpreted as evidence for the parasitic infestation, and individuals with the condition commonly compulsively gather such "evidence" to present to medical professionals. This presentation is known as the "matchbox sign", "Ziploc bag sign" or "specimen sign", because the "evidence" is frequently presented in a small container, such as a matchbox. The matchbox sign is present in five to eight out of every ten people with DP. Related is a "digital specimen sign", in which individuals bring collections of photographs to document their condition.Similar delusions may be present in close relatives—a shared condition known as a folie à deux—that occurs in 5 to 15% of cases and is considered a shared psychotic disorder.
The vaginal vault is the expanded region of the vaginal canal at the internal end of the vagina. Prolapse
The vaginal vault may prolapse after a hysterectomy, as there is no uterus supporting the interior end of the vagina. Colposacropexy is often used for treating vaginal vault prolapse. A Cochrane Collaboration review[needs update] found that limited data are available on optimal surgical approaches, including the use of transvaginal surgical mesh devices, in the form of a patch or sling, similar to its implementation for abdominal hernia. However, the use of a transvaginal mesh in treating vaginal prolapses is associated with side effects including pain, infection, and organ perforation. According to the FDA, serious complications are "not rare." A number of class action lawsuits have been filed and settled against several manufacturers of TVM devices. See also
Vagina
Hysterectomy

References
External links
Dictionary definition of "Vaginal vault" from TheFreeDictionary.com