Sexually Acquired Vascular Injuries of the Penis: A Review

J, Lee; Singh, Bhavneet; Fg, Kravets; Trocchia, Aron M.; Wc, Waltzer; Khan, SA

doi:10.1097/00005373-200008000-00029

Cited by 13 publications

(14 citation statements)

References 128 publications

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“…According to a study by Fann et al the risk of atraumatic subarachnoid hemorrhage is increased 15-fold as the acute elevation in blood pressure during sexual intercourse increases the vessels wall tension and the subsequent risk of its rupture [10]. Similar as in our study several other studies found a male predominance in patients with atraumatic subarachnoid hemorrhage related to sexual intercourse [4], [5], [11], [12]. This finding is exceptional for several reasons [5].…”

Section: Discussionsupporting

confidence: 88%

Radiological Findings of Sexual Intercourse Related Emergency Department Admissions: A First Overview

et al. 2014

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ObjectivesSexuality is an essential aspect of human function, well-being and quality of life. Many people have sex without complications. However, there are some people who need to seek emergency medical help for related health problems. The aim of this study was to present a first overview of patients who received a radiological examination related to sexual intercourse based emergency department admission.MethodsOur centralized electronic patient record database was reviewed for patients who had been admitted to our emergency department with an emergency after sexual intercourse between 2000 and 2011. The database was scanned for the standardized key words ‘sexual intercourse’ or ‘coitus’ retrospectively. For all patients identified in the electronic patient record database the radiological examinations were searched for manually in our Radiology Information System, and reviewed by three independent radiologists.ResultsOne hundred and twenty nine out of 445 (29,0%) patients received a radiological examination after immediate emergency department admission related to sexual intercourse. Fifty two out of 129 (40.3%) patients had positive radiological findings while 77 (59.7%) did not. Eighty point seven percent (n = 42) of the radiological findings were a sexual intercourse-associated pathology and 19.2% (n = 10) were considered to be incidental findings. Age and male sex positively correlated with radiological imaging workup (p<0.001, respectively p<0.037). The most common sexual intercourse-associated pathology was headache attributed to cerebrovascular insult (n = 21, 40.3%) followed by epididymitis (n = 7, 16.6%) and obstructive uropathy (n = 5, 11.6%). Of the patients with headache attributed to non-traumatic intracranial hemorrhage, subarachnoid hemorrhage (n = 14, 66.6%) was the most common, followed by intracerebral bleeding (n = 4, 19.0%) and one subdural hemorrhage.ConclusionsPathological findings are manifold. Cerebral imaging is the most common type of radiological imaging performed. Further prospective and standardized studies should be performed to better evaluate the significance of radiological imaging in this patient collective with the aim to gain better knowledge on what patients profit from what type of radiological imaging when presenting with a sexual intercourse related emergency.Advances in KnowledgeThe present study provides a first overview on radiological findings of sexual intercourse related emergency department admissions.

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Section: Discussionsupporting

confidence: 88%

Radiological Findings of Sexual Intercourse Related Emergency Department Admissions: A First Overview

et al. 2014

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“…Ultrasonography and MRI [3] have been used to diagnose penile fractures. Penile angiography is recommended in patients suspected to have vascular penile injuries [13].…”

Section: Resultsmentioning

confidence: 99%

“…The corpus cavernosum ruptured either alone or occasionally with the urethra. Rare postcoital penile injuries included thrombosis of the superficial dorsal vein of the penis (Mondor's disease of the penis) and lymphangitis of the penis [13]. Rupture of the penile suspensory ligaments at intercourse may cause deviation or dislocation of the penis [19].…”

Section: Resultsmentioning

confidence: 99%

“…Some inadequately treated penile fractures resulted in erectile dysfunction, urethral fistulae and urethral stricture [3]. Erectile dysfunction may result from rupture of the deep dorsal vein of the penis with no penile fracture or from a deep cavernosal artery injury [13]. There was a high incidence of penile curvature after the conservative treatment of penile fractures [16].…”

Section: Resultsmentioning

confidence: 99%

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Urological complications of coitus

Eke

2002

BJU International

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Objective To ascertain the urological complications of coitus, as the proximity of the lower urinary tract to the organs of coitus exposes the tract to coital trauma. The complications have been termed`faux pas' implying that they are preventable. While the ultimate prevention is abstinence, this is an unrealistic prescription. Therefore, efforts are necessary to identify risk factors to enable preventive strategies. Materials and methods

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“…Penile fractures and prepuce lesions can occur during sexual intercourse (Yip et al 1989;Lee et al 2000;Szabo and Short 2000;Ozorak et al 2014). Prepuce lesions are medically significant because they provide a route for systemic STD infections (Szabo and Short 2000;Mehta et al 2009), and male circumcision during boyhood was associated with fewer injuries in adulthood during sexual intercourse (Mehta et al 2010).…”

Section: Male Injuries During Consensual Intercoursementioning

confidence: 99%

Copulatory Wounding and Traumatic Insemination

Reinhardt

Anthes

Lange

2015

Cold Spring Harb Perspect Biol

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Copulatory wounding (CW) is widespread in the animal kingdom, but likely underreported because of its cryptic nature. We use four case studies (Drosophila flies, Siphopteron slugs, Cimex bugs, and Callosobruchus beetles) to show that CW entails physiological and lifehistory costs, but can evolve into a routine mating strategy that, in some species, involves insemination through the wound. Although interspecific variation in CW is documented, few data exist on intraspecific and none on individual differences. Although defensive mechanisms evolve in the wound recipient, our review also indicates that mating costs in species with CW are slightly higher than in other species. Whether such costs are dose-or frequencydependent, and whether defense occurs as resistance or tolerance, decisively affects the evolutionary outcome. In addition to sexual conflict, CW may also become a model system for reproductive isolation. In this context, we put forward a number of predictions, including (1) occasional CW is more costly than routine CW, (2) CW is more costly in between-than within-population matings, and (3) in the presence of CW, selection may favor the transmission of sexually transmitted diseases if they induce resource allocation. Finally, we outline, and briefly discuss, several medical implications of CW in humans.

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Sexually Acquired Vascular Injuries of the Penis: A Review

Cited by 13 publications

References 128 publications

Radiological Findings of Sexual Intercourse Related Emergency Department Admissions: A First Overview

Radiological Findings of Sexual Intercourse Related Emergency Department Admissions: A First Overview

Urological complications of coitus

Copulatory Wounding and Traumatic Insemination

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