Non-obstetric vaginal trauma

Jones, Ian S.; O’Connor, Allan

doi:10.4236/ojog.2013.31005

Cited by 5 publications

(7 citation statements)

References 6 publications

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“…Severe vaginal lacerations may result in lifethreatening blood loss and hemorrhagic or septic shock requiring resuscitation, blood transfusion, and prolonged hospitalization. It can lead to long-term morbidity because of inappropriate assessment, misdiagnosis, and inadequate treatment [6]. Our study emphasizes the need for multidisciplinary approach involving urologists, gynecologists, and general and orthopedic surgeons.…”

Section: Discussionmentioning

confidence: 99%

“…Laparoscopy may be helpful wherever a visceral injury is suspected [4]. Complete perineal tear is rarely reported, and primary repair in layers is the mainstay of management in this type of injury if brought immediately or within 48 h [6]. These women deserve special counseling about the possible adverse consequences of trauma such as prolapse, incontinence, infertility, and dyspareunia [5,6].…”

Section: Discussionmentioning

confidence: 99%

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Lower Genitourinary Tract Trauma Caused by Cow Horn Injury

Priyadarshi

Gupta

Pal

2015

J Obstet Gynecol India

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Introduction Lower genitourinary tract trauma in females caused by cow horn injury (goring) is rarely reported and discussed. Materials and Methods All (12) women who were managed over the past 5 years for genitourinary tract trauma inflicted by cow horn injury were retrospectively analyzed.Results Variable patterns of lower genitourinary trauma were observed due to cow horn injury. Conclusion Treatment should be individualized and offered after thorough evaluation under anesthesia.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Lower Genitourinary Tract Trauma Caused by Cow Horn Injury

Priyadarshi

Gupta

Pal

2015

J Obstet Gynecol India

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“…[ 8 ] When the assessment is not possible because of pain or the presence of a large clot obscuring the injury, an examination must be done under anesthesia. [ 9 ] Vulvovaginal injuries in children have forensic implications as young girls are potential victims of rape. In suspected cases, injuries must be carefully examined and swabs collected as a precaution in case rape was the true cause of injury.…”

Section: Discussionmentioning

confidence: 99%

“…[ 3 ] In other studies, however, genital injuries were the most common in the 20–30 years of age group. [ 6 9 10 ] All cases presented with a history of bleeding per vaginum. The most common type of injury was laceration, and the most common site was the vagina.…”

Section: Discussionmentioning

confidence: 99%

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Nonobstetric lower genital tract injury patients of a tertiary care center in Eastern Uttar Pradesh, India: A cross-sectional study

Tiwari

Aditya

Mishra

2022

Int J Crit Illn Inj Sci

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Background: Injuries of lower genital tract are commonly seen in obstetrics patients during labor and delivery. Nonobstetric genital injuries are seen less commonly. Research on injuries to the lower genital tract from nonobstetric trauma is therefore scant. The purpose of this study was to document causes, treatment, and outcomes among patients of lower genital tract injuries visiting to B. R. D. Medical College and Nehru hospital, Gorakhpur, U.P. Methods: Admission and operation theater registers of the department of obstetrics and gynecology during 1 year were scrutinized for cases admitted with the diagnosis of genital trauma. Bed-head tickets of patients were scrutinized with the help of a data abstraction form, and information regarding age, cause of injury, site, size and pattern of injuries, treatment, and short-term outcome were recorded. Results: Of a total of 43 cases of traumatic genital tract injuries, 39 women received treatment. Maximum cases were seen in girls aged 6–10 years. Three women were pregnant at the time of injury. Noncoital injuries predominated over coital injuries, i.e., 59% versus 38.4%. Among the noncoital injuries, fall was the most common cause accounting for 75% of the cases. Coital injuries following consensual sex occurred more commonly in women who were sexually active, lactating, or postmenopause. The chief presenting complaint was vaginal bleeding. Vaginal wall laceration/tear was the most common injury reported. Multiple injuries were seen in 40% (17/39) of the cases. Twenty-one cases of laceration/tear (53.8%) were repaired surgically of which seven required examination and repair under anesthesia. Vulvar hematomas were managed by incision and drainage. There was no major morbidity or mortality. Conclusions: The results of this study from eastern Uttar Pradesh, India, support those from other developing nations. Noncoital injuries were found to be the most predominant cause of non-obstetric genital trauma, though, contrary to others, children were seen to be at the greatest risk. It is important to teach children about playing safely and following safety measures while on the road. We must also make them aware so that they do not become victims of rape.

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An intricate vagina penetrating injury with a 22 cm cassava stick in situ for 6 months: a case report

Irumba,

Baragaine,

Obore

et al. 2024

J Med Case Reports

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Background Trauma remains one of the major causes of morbidity and mortality and a threat to attainment of sustainable development goal 11. Genital urinary trauma is reported in about 10% of patients presenting with trauma worldwide, and in about 6.6% of patients in Sub-Saharan Africa. If not careful enough, one may miss the foreign body in the vagina and this may be associated with morbidity, and although rare, mortality. Case presentation We report a case of a 7-year-old Black Ugandan that had suffered vagina trauma 6 months prior to presentation at our facility and presented with chronic vagina pus discharge for 6 months. Prior examinations had failed to recognize the foreign body and so did the two abdominal pelvic ultrasound scans. During examination under anesthesia, we were able to locate the cassava stick that had caused penetrating vagina injury and we were able to dislodge it. It was a blunt cassava stick with length of 22 cm and diameter of 2 cm. Although it had gone through the peritoneal cavity, we did not do a laparotomy. Conclusion This case emphasizes the need for a thorough vaginal exam including the need to do it under anesthesia with good lighting even when ultrasound scan findings are normal. It presents an opportunity for one to manage penetrating peritoneal injury without a laparotomy in highly selected cases. Gynecologists should be keen as well to rule out child molestation.

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Non-obstetric vaginal trauma

Cited by 5 publications

References 6 publications

Lower Genitourinary Tract Trauma Caused by Cow Horn Injury

Lower Genitourinary Tract Trauma Caused by Cow Horn Injury

Nonobstetric lower genital tract injury patients of a tertiary care center in Eastern Uttar Pradesh, India: A cross-sectional study

An intricate vagina penetrating injury with a 22 cm cassava stick in situ for 6 months: a case report

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