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

Abstract

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.

İlk Koitus Sonrası Gerçekleşen Genital Yaralanmaların Sonuçları

“…In the literature, the frequency of blood transfusions was frequently performed in case series (14). Tchounzou et al reported the blood transfusion rate as 5.6% in the coitius injury study of 53 diseases (15). In some studies, it was observed that this rate increased up to 38% (1, 15).…”

Desgarro Perineal con mucosa vaginal íntegra tras primera relación sexual

“…Existen diferentes factores de riesgo que pueden favorecer la aparición de lesiones durante las relaciones sexuales: factores mecánicos como posiciones coitales, desproporciones anatómicas, uso de cuerpos extraños o postmenopausia [2][3][4] ; psicosomáticos como nerviosismo o torpeza; y causa mixta como pueden ser los casos de coitos apresurados o durante la primera relación sexual.…”

A freaky motorbike accident causing vulvar hematoma: a case report at the Bafoussam Regional Hospital, West-Cameroon

“…1 Very few cases have been reported in Cameroon and none in the west region of the country (to the best of our knowledge). [2][3][4] Non-obstetric vulvar hematomas (NVHs) are usually caused by direct trauma to the vulva during consensual or forceful sex/coitus and falls in squatting position. 1,5 The loose connective tissue of the vulva is prone to accumulation of blood and expansion of the hematoma.…”