Posterior vaginal fornix rupture and haemoperitoneum following sexual intercourse

Usifo, F.; Sharma, Renu; MacRae, R.; Hargreaves, C.A.; Swinhoe, June

doi:10.1080/01443610600766892

Cited by 11 publications

(8 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The posterior vaginal fornix is well known as a vulnerable anatomic site for coital injuries in both consensual and nonconsensual sex [3,8,10,14,15,18]. This location also supports the idea of sexual disproportion for obvious anatomic reasons.…”

Section: Discussionsupporting

confidence: 64%

Retrospective Analysis of Clinical Features, Treatment and Outcome of Coital Injuries of the Female Genital Tract Consecutive to Consensual Sexual Intercourse in the Limbe Regional Hospital

Tchounzou

Chichom-Mefire

2015

Sexual Medicine

View full text Add to dashboard Cite

IntroductionNonobstetrical genital injuries are gradually becoming a common cause of genital injuries. Consensual sex has been reported to be a possible cause of this type of injuries, but its contribution to traumatic lesions of the female genital tract is not well known. It has been suggested that injury consecutive to consensual sex can be extensive and life‐threatening.AimThe aim of this study was to analyze the clinical features, treatment modalities, and the outcome of injuries to the female genital tract consecutive to a consensual sexual intercourse.MethodsA retrospective review of records of female patients admitted in our institution with a complaint of genital injury over a 5‐year period. We collected data regarding patient and injury characteristics, findings of the gynecologic examination, modalities of management and final outcome.Main Outcome MeasuresAnatomic location and nature of injury, modalities of management, admission rate and mortality rate.ResultsForty six cases could be analyzed. Their mean age was 25.6 years. Almost 35% of patients sustained the injury during their first sexual contact. The majority presented with bleeding, often combined with pain. One patient presented with features of peritonitis. During examination, no anatomic lesions could be identified in 16 (34.8%) of patients. When a lesion was present, it concerned mostly the posterior fornix (28.3%) and the lateral vaginal wall (10%). The most frequently described lesion was a laceration. The majority of patients (83%) were treated with suturing under local anesthesia. The admission rate was 28%, and was significantly higher in patients with a laceration of the posterior fornix. No death was recorded.ConclusionsCoital injuries following consensual sex often present in the form of a life‐threatening condition and young female with no previous sexual experience are particularly exposed. Most lesions can be treated with a simple suture. T chounzou R and C hichom‐ M efire A . Retrospective analysis of clinical features, treatment and outcome of coital injuries of the female genital tract consecutive to consensual sexual intercourse in the L imbe R egional H ospital. S ex M ed 2015;3:256–260.

show abstract

Section: Discussionsupporting

confidence: 64%

Retrospective Analysis of Clinical Features, Treatment and Outcome of Coital Injuries of the Female Genital Tract Consecutive to Consensual Sexual Intercourse in the Limbe Regional Hospital

Tchounzou

Chichom-Mefire

2015

Sexual Medicine

View full text Add to dashboard Cite

show abstract

“…The most commonly described serious injury is a vaginal rupture (Burdman, ; Bhagat, ; Hoffman and Ganti, ; Lal et al, ; Usifo et al, ; Jeng and Wang, ; Flam, ; Austin et al, ). Descriptions of these ruptures are fairly uniform and involve a laceration, several centimeters in length, in the posterior aspect of the vaginal wall close to or involving the posterior fornix.…”

Section: Case‐stories In Literaturementioning

confidence: 99%

Post‐coital genital injury in healthy women: A review

Astrup

Lykkebo

2014

Clinical Anatomy

View full text Add to dashboard Cite

Female genital injury following penile sexual intercourse in healthy women is a matter of importance and debate in many parts of society. However, the literature on the subject is sparse. There are a few studies regarding minor injury that does not require treatment in adult, pre-menopausal women, a single study of adolescent women, and none regarding post-menopausal women. Larger lesions requiring treatment are described casuistically. The purpose of this article is to provide a short, easy-to-read review of the literature regarding the prevalence and nature of female genital injury following consensual sexual intercourse in otherwise healthy women.

show abstract

“…Vaginal rupture following intercourse without predisposing medical or surgical conditions is very rare. Known risk factors are few and include postmenopausal vaginal atrophy, collagen disorders, vaginal prolapse or enterocele, extremes of age, significant vaginal trauma, genital abnormalities, and recent pelvic surgery [1–3,8,9]. This case differs from previous reports in that the patient was young and did not have known risk factors.…”

Section: Discussionmentioning

confidence: 59%

“…The first reported case of coitus‐induced vaginal evisceration in a young, healthy woman was in 1978, following an act of rape [7]. Three other cases of vaginal rupture in premenopausal women with no prior pelvic surgery have been reported—one who was impaled vaginally by a metal object during a motor vehicle accident, one in whom rupture occurred spontaneously after sexual intercourse whose medical history was unreported, and one in a 13‐year‐old girl following reported consensual intercourse [1,8].…”

Section: Introductionmentioning

confidence: 99%

Postcoital Vaginal Rupture in a Young Woman with No Prior Pelvic Surgery

Austin

Cooksey

Minikel

et al. 2013

The Journal of Sexual Medicine

View full text Add to dashboard Cite

Introduction Reports of postcoital vaginal rupture in the literature are limited to cases involving women who are postmenopausal, have recently undergone pelvic surgery, or have suffered genitourinary trauma. Aim We report a case of postcoital vaginal rupture in a 23-year-old woman with no prior surgical history who complained of acute onset, severe vaginal pain after consensual intercourse. Results Examination under anesthesia revealed a 6-cm laceration of the posterior fornix, which extended into the abdominal cavity. The laceration was repaired using a combined vaginal and laparoscopic approach. Conclusions Coitus-induced vaginal rupture in a reproductive aged woman with no prior pelvic surgery or other risk factors is a rare clinical presentation. Prior reports of rupture in premenopausal women have recommended repair via laparotomy. This case documents successful transvaginal and laparoscopic repair, and reviews the etiological mechanisms for coitus-induced injury.

show abstract

Posterior vaginal fornix rupture and haemoperitoneum following sexual intercourse

Cited by 11 publications

References 3 publications

Retrospective Analysis of Clinical Features, Treatment and Outcome of Coital Injuries of the Female Genital Tract Consecutive to Consensual Sexual Intercourse in the Limbe Regional Hospital

Retrospective Analysis of Clinical Features, Treatment and Outcome of Coital Injuries of the Female Genital Tract Consecutive to Consensual Sexual Intercourse in the Limbe Regional Hospital

Post‐coital genital injury in healthy women: A review

Postcoital Vaginal Rupture in a Young Woman with No Prior Pelvic Surgery

Contact Info

Product

Resources

About