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Non-obstetric vaginal trauma

DOI: 10.4236/ojog.2013.31005, PP. 21-23

Keywords: Non-Obstetric, Vaginal, Trauma, Diagnosis, Management

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Abstract:

Objective: To describe the mechanism, injury pattern and management of women who present to the Emergency Department with non-obstetric vaginal trauma. Methods: A retrospective, single institution case series was carried out. Data was sourced from medical records of women who presented to the Emergency Department and Royal Brisbane and Women’s Hospital between 2007 and 2011. Records of possible injuries to the vagina were assessed to determine incidence, age, site, type of injury, mechanism of injury and whether urinary retention required treatment. Results: Vaginal non-obstetric trauma was found in 11 of 519 cases resulting in lacerations or tears. Injuries were due to consensual coitus, other forms of sexual activity and self harm. Acute urinary retention did not occur in any case but two cases required resuscitation. Site of injury was most common high in the vagina. Conclusion: Non-obstetric vaginal injuries are uncommon (incidence 2.1%). All cases require assessment for vulvar, vaginal, urethral, anal and bony pelvis injuries. This may require examination under anaesthesia. Social worker and psychological support is important to reduce the incidence of long-term psychological problems.


References

[1]  Koss, M.P. and Figueredo, A.J. (2004) Change in cognitive mediators of rape’s impact on psychosis within 2 years of recovery. Journal of Consulting and Clinical Psychology, 72, 1063-1072. doi:10.1037/0022-006X.72.6.1063
[2]  Sau, A.K., Dhar, K.K. and Dhall, G.I. (1993) Nonobstetric lower genital tract trauma. Australian and New Zealand Journal of Obstetrics and Gynaecology, 33, 433-435. doi:10.1111/j.1479-828X.1993.tb02132.x
[3]  Habek, D. and Kulai, T. (2007) Nonobstetric vulvovaginal injuries: Mechanism and outcome. Archives Gynecology and Obstetrics, 215, 93-97. doi:10.1007/s00404-006-0228-x
[4]  Alao, A.O., Yolles, J.C. and Huslander, W. (1999) Female genital self-mutilation. Psychiatric Services, 50, 971.
[5]  Favazza, A.R. and Conterio, K. (1989) Female habitual self-mutilators. Acta Psychiatrica Scandanavica, 79, 283-289. doi:10.1111/j.1600-0447.1989.tb10259.x
[6]  Fallat, M.E., Weaver, J.M., Hertweck, S.P. and Miller, F.B. (1998) Late follow-up and functional outcome after traumatic reproductive tract injuries in women. American Journal of Surgery, 64, 858-861.
[7]  Sloin, M.M., Karimian, M. and Ilbeigi, P. (2006) Nonobstetric lacerations of the vagina. Journal of the American Osteopathic Association, 106, 271-273.
[8]  Bowyer, L. and Dalton, M.E. (1997) Female victims of rape and their genital injuries. British Journal of Obstetrics & Gynaecology, 104, 617-620. doi:10.1111/j.1471-0528.1997.tb11543.x
[9]  Biggs, M., Stermac, L. and Divinsky, M. (1998) Genital injuries following sexual assault of women with and without prior sexual intercourse experience. Canadian Medical Association Journal, 159, 33-37.
[10]  Dash, S., Verghese, J., Nizami, D.J., Awasthi, R.T., Jaishi, S. and Sunil, M. (2006) Severe haematoma of the vulva: A report of two cases and a clinical review. Kathmandu University Medical Journal, 4, 228-231.

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