Nonobstetrics vulvovaginal injuries: mechanism and outcome

Abstract

Besides primary operative management of the wound, the patient should receive broad-spectrum antibiotic and antitetanic prophylaxis in cases of accidental and penetrating injuries (foreign object, cow's horn, kitchen knife). In case of suspect mechanism of infliction, VVI in a child require careful inspection because of the potential forensic implications (rape, abuse).

Nonobstetric lower genital tract injuries in rural India

“…The sociodemographic profiles and cause of injuries in the study population were diverse and were therefore grouped into coital (17) and noncoital (35) groups ( Table 1).…”

“…NOGTIs vary from simple contusions to extensive lacerations involving adjacent organs. In the worst cases, profuse external and intra-abdominal hemorrhage, pelvic fractures, and perforations into the peritoneal cavity, intestines, and bladder can be fatal [2,4,6,8,[15][16][17]. The cornerstone of management of these injuries is an accurate history of the trauma, and vaginal and rectal examinations [2,4,10,18].…”

Non‐Infective Cutaneous Conditions of the Vulva

“…In one series of 17 patients, straddle injuries from sexual assault or falls were the commonest cause (Habek & Kulas 2007). Intracoital injury leading to rupture of the posterior fornix, and injuries by foreign objects were also seen.…”

Non-obstetric vaginal trauma

“…Cases of accidental and penetrating injuries to the genitals should receive broad spectrum antibiotics and tetanus prophylaxis [3]. In some circumstances offering to enlist the assistance of a psychologist to support the injured woman should be considered to reduce short and long term psychological consequences [1].…”

“…In most cases it is caused by direct blunt trauma to an area containing a rich vascular network. Types of trauma reported by others include vigorous consensual and non-consensual coital injury, physical assault [2,3] and genital self mutilation [4,5].…”