Urological complications of coitus

Eke, N

doi:10.1046/j.1464-4096.2001.01458.x

Cited by 42 publications

(33 citation statements)

References 28 publications

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“…It is noteworthy, at this point, that similar mismatch mechanisms underlying copulatory genital injuries have been described in the medical literature using terms such as penovaginal disproportion, excessive force, or unusual behavior at coitus (Eke 2002) (for further discussion, see the section CW in Humans, with a Note on Its Medical and Legal Significance).…”

Section: Intragenital Cwmentioning

confidence: 76%

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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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Section: Intragenital Cwmentioning

confidence: 76%

“…After CW, external male or female surfacedwelling or sexually transmitted microbes may enter the wound (Eke 2002;Mehta et al 2009Mehta et al , 2010Mehta et al , 2012Otti et al 2009Otti et al , 2013Kamimura 2012;and references therein). This elicits a series of responses.…”

Section: Preventing Microbial Infectionmentioning

confidence: 99%

Copulatory Wounding and Traumatic Insemination

Reinhardt

Anthes

Lange

2015

Cold Spring Harb Perspect Biol

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“…In that study, 38% of urological complications were due to obstetrics and gynaecological surgeries, of these, 86% were after hysterectomy. Another study in this centre had focused on urological complication of coitus and urinary tract injury following genital mutilation [15]. The risk factors associated with these injuries in our sub-region and outcome of treatment is yet to be documented.…”

Section: Introductionmentioning

confidence: 99%

Urological Complications of Obstetrics and Gynaecology Surgeries in a Developing Country

2015

J Urol Nephrol

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Background: Urological complications of obstetrics and gynaecology surgeries are associated with significant morbidity and occasional mortality. Certain factors affect the prevalence and outcome of treatment. Aim:To evaluate the risk factors and outcome of treatment of urological complications of obstetrics and gynaecology practice. Results: During this period, 8,270 obstetrics and gynaecology surgeries were performed; Twenty five patients (0.31%) had urological complications. The mean age was 38.4 years (range 24-62 years). The commonest initial diagnosis was uterine fibroids in 9 patients followed by uterine rupture in 8 patients. Total abdominal hysterectomy (12 patients) was the commonest surgery. Twenty-one patients had ureteric injury. Seven patients had bladder injury; one patient had injury to the bladder and both ureters. Eight injuries were identified intra-operatively. Ureteric re-implantation was the commonest repair. Twenty two patients (88%) had satisfactory outcome, one patient (4%) died due to chronic renal failure while two patients (8%) had sepsis. Conclusion:We conclude that conditions that distort pelvic anatomy and emergencies were the major risk factors. Early operative repairs achieved satisfactory results. Early detection and treatment of urological complications of obstetrics and gynaecology surgeries is important. Good knowledge of anatomy of urogenital system and meticulous surgical technique by the surgeon will reduce the incidence of complications.

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“…Urethral coitus in the female is rare [2,3], and when urethral coitus occurs, it is usually in association with vaginal atresia or imperforate hymen [2,4]. Urethral coitus in the presence of a normal introitus and vagina is even rarer.…”

Section: Introductionmentioning

confidence: 99%

Female urethral and bladder neck injury after rape: an appraisal of the surgical management

2006

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The aim of this study was to discuss the surgical management of urethral and bladder neck injury after urethral coitus during rape. A 21-year-old lady presented with total urinary incontinence of 1-year duration after being raped. On examination, she had urethral laceration and a patulous urethra and bladder neck suggesting urethral coitus during the rape. Her introitus and vagina were however normal. She had repair of her urethral laceration and plication of her urethra and bladder neck via a vaginal approach. She regained her continence and voids without any residual urine. Urethral coitus is rare. Urethral coitus in the presence of a normal introitus and vagina is very rare. The urethral and bladder neck injury resulting from this can be satisfactorily corrected by urethral and bladder neck plication via a vaginal approach with the vaginal incisions positioned to forestall suture line apposition, which may lead to wound failure.

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Urological complications of coitus

Cited by 42 publications

References 28 publications

Copulatory Wounding and Traumatic Insemination

Copulatory Wounding and Traumatic Insemination

Urological Complications of Obstetrics and Gynaecology Surgeries in a Developing Country

Female urethral and bladder neck injury after rape: an appraisal of the surgical management

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