Araştırma Makalesi
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Outcomes of Genital İnjuries After the First Coitus

Yıl 2022, Cilt: 19 Sayı: 2, 261 - 265, 28.08.2022
https://doi.org/10.35440/hutfd.1126802

Öz

Abstract
Background: In this study, we aimed to investigate the outcomes of the first coitus injuries in newly married couples, which are common in our society.

Material and Methods: This is a retrospective study involving 89 patients admitted to the obstetrics and gynecology clinic of our hospital with the complaint of bleeding secondary to postcoital vaginal discharge between January 2017 and December 2020.

Results: The mean age of 89 patients admitted due to postcoital genital injury was 26 ± 8 years. All 89 of the patients had genital injury in the first coitus. The mean number of lesions was 1.4 ± 0.73 and their dimensions were 2.7 ± 0.96 cm. 65% of the patients were in primary and lower education groups.
The main localizations of genital injuries were 29 in the vaginal introitus, 13 in the right lateral, 10 in the left lateral, and 10 in the posterior fourchette. Preoperative mean hemoglobin level was 11.2 ± 1.78 and postoperative hemoglobin level was 9.8 ± 1.3. The mean operation time was 21.2 ± 7 minutes and the hospital stay was 1.04 ±0.2 days. 19 of the interventions were repaired under local anesthesia under office conditions and 70 were repaired under spinal anesthesia or sedoanalgesia in the operating room.

Conclusions: Vaginal injuries after coitus are considerably high. After these injuries, there is rapidly developing and life-threatening bleeding. Premarital couples receiving psychosexual education, preventing pregnancies at an early age, and conducting socio cultural-based studies may help to reduce genital injuries after the first coitus.

Kaynakça

  • References 1. Abasiattai AM, Etuk SJ, Bassey EA, et al. Vaginal injuries during coitus in Calabar: a 10-year review. Niger Postgrad Med J 2005;12(2):140-4.
  • 2. Habek D, Kulas T. Nonobstetrics vulvovaginal injuries: mechanism and outcome. Arch Gynecol Obstet 2007;275(2):93- 7.
  • 3. Katz VL. Benign gynecologic lesions: vulva, vagina, cervix, uterus, oviduct, ovary, ultrasound imaging of pelvic structures. In: Lentz GM, Lobo RA, Gershenson DM, et al, eds. Comprehensive Gynecology. Philadelphia, PA: Mosby- Elsevier; 2012:383-432. (Textbook chapter)
  • 4. Borhart J. Emergency department management of vaginal bleeding in the nonpregnant patient. Emerg Med Pract 2013;15(8):1-20.
  • 5. Zink T, Fargo JD, Baker RB, et al. Comparison of methods for identifying ano-genital injury after consensual intercourse. J Emerg Med 2010;39(1):113-8.
  • 6. Schmidt AB, Lykkebo AW. Post-coital genital injury in healthy women: A review. Clin Anat 2015;28(3):331-8.
  • 7. Lincoln C, Perera R, Jacobs I, et al. Macroscopically detected female genital injury after consensual and non- consensual vaginal penetration: a prospective comparison study. J Forensic Leg Med 2013;20(7):884-901.
  • 8. Mc Lean I, Roberts SA, White C, et al. Female genital injuries resulting from consensual and non-consensual vaginal intercourse. Forensic Sci Int 2011;204(1-3):27-33.
  • 9. Banerjee A. Coital emergencies. Postgrad Med J 1996;72(853):653-6.
  • 10. Hoffman RJ, Ganti S. Vaginal laceration and perforation resulting from first coitus. Pediatr Emerg Care 2001;17(2):113-4.
  • 11. Jeng CJ, Wang LR. Vaginal laceration and hemorrhagic shock during consensual sexual intercourse. J Sex Marital Ther 2007;33(3):249-53.
  • 12. Sloin MM, Karimian M, Ilbeigi P. Nonobstetric tears in the vajina. J Am Osteopath Assoc 2006; 106: 271-273.
  • 13. Tullington JE, Blecker N. Lower Genitourinary Trauma. 2020 May 22. In: StatPearls (Internet). Treasure Island (FL): StatPearls Publishing; 2020 Jan.
  • 14. Padoa A, Glick Fishman N, Tsviban A, et al. Vaginal postcoital injuries requiring surgical intervention: a case series and literature review. Int J Impot Res 2021;33(1):110-117.
  • 15. Tchounzou R, Chichom-Mefire A. Retrospective Analysis of Clinical Features, Treatment and Outcome of Coital Injuries of the Female Genital Tract Consecutive to Consensual Sexual Intercourse in the Limbe Regional Hospital. Sex Med. 2015; 3(4):256-60.
  • 16. Sau AK, Dhar KK, Dhall GI. Nonobstetric lower genital tract trauma. Aust N Z J Obstet Gynaecol 1993;33(4):433-5.
  • 17. Dickinson RL. Atlas of Human Sex Anatomy. Baltimore, Md: Williams & Wilkins Co; 1949:100 .
  • 18. Katz VL. Benign gynecologic lesions: vulva, vagina, cervix, uterus, oviduct, ovary, ultrasound imaging of pelvic structures. In: Lentz GM, Lobo RA, Gershenson DM, et al, eds. Comprehensive Gynecology. Philadelphia, PA: Mosby- Elsevier; 2012:383-432. (Textbook chapter)
  • 19. Wilson KF. Lower genital tract trauma. Aust N Z J Obstet Gynaecol 1966;6:291-3.
  • 20. McColgin SW, Williams LM, Sorrells TL, Morrison JC. Hemoperitoneum as a result of coital injury without associated vaginal injury. Am J Obstet Gynecol 1990;163 (5 Pt 1):1503-5.
  • 21. Cisse CT, Dionne P, Cathy A, et al. Lésions vaginales au cours du coït (Vaginal injuries during coitus). Dakar Med 1998;43(2):135-8.
  • 22. Dao B, Diouf A, Bambara M, et al. Les blessures vaginales au cours du coït: une série de 98 cas (Vaginal injuries during coitus: 98 cases). Contracept Fertil Sex 1995;23(6):420-2.
  • 23. Boukhanni L, Dhibou H, Zilfi W, et al. Les hémorragies post coïtales: à propos de 68 cas et revue de literature (Postcoital bleeding: 68 case-reports and review of the literature). Pan Afr Med J 2016;23:131.
  • 24. Omo-Aghoja LO, Ovbagbedia O, Feyi-Waboso P, et al. Coitally Related Traumatic Injury of the Female Genital Tract in a Nigerian Urban Setting: A-5 year review. Niger Postgrad Med J 2009;16(1):59-63.
  • 25. Inuwa U, Bako B, Mairiga AG, et al. Coital trauma as seen at the University of Maiduguri Teaching Hospital, Maiduguri. Borno Med J 2013; 10(1): 25-9.

İlk Koitus Sonrası Gerçekleşen Genital Yaralanmaların Sonuçları

Yıl 2022, Cilt: 19 Sayı: 2, 261 - 265, 28.08.2022
https://doi.org/10.35440/hutfd.1126802

Öz

Öz.
Amaç: Toplumda yeni evlenmiş çiftlerde sık rastlanan ilk koitus sonrası gerçekleşen vajinal yaralanmaların araştırılması amaçlanmıştır.

Materyal ve Metod: Bu retrospektif çalışma Ocak 2017 ve Aralık 2020 tarihleri arasında vajinal ilişki sonrası kanama şikayetiyle hastanemizin kadın hastalıkları ve doğum kliniğine başvuran 89 hastayı kapsamaktadır.

Bulgular: Postkoital yaralanma nedeniyle çalışmamıza dahil edilen 89 hastanın yaş ortalaması 26 ± 8 idi. 89 hastanın tamamındaki genital yaralanmaların ilk koitusa bağlı olduğu saptandı. Lezyonların ortalama sayısı 1.4 ± 0.73 ve ortalama uzunluğu 2.7 ± 0.96 cm idi. Hastaların % 65’inin ilkokul ve altı eğitim grubundan olduğu saptandı. Genital yaralanmalar en sık 29 hastada vajinal introitus bölgesinde saptanırken 13 hastada vajen sağ lateral duvarda, 10’ar hasta grubunda ise vajen sol lateral duvar ve forşette saptandı. Ortalama preoperative hemoglobin değeri 11.2 ± 1.78, postoperatif hemoglobin değeri 9.8 ± 1.3 bulundu. Ortalama müdahale süresi 21.2 ± 7 dakika ve hastanede kalış süresi 1.04 ±0.2 idi. Vajinal yaralanmaların onarım işlemi 19 hastada ofis koşullarında ve lokal anestezi altında, 70 hastada ise ameliyathane koşullarında spinal ya da sedo-analjezi altında gerçekleştirildi.

Sonuç: Koitus sonrası vajinal yaralanmalar oldukça sıktır. Bu yaralanmalar sonrası hızlı gelişen ve hayatı tehdit edebilen kanamalar görülebilir. Evlilik öncesi çiftlerin psikoseksüel eğitim almaları, erken yaşta gebeliklerinin önlenmesi ve sosyokültürel temelli çalışmaların yapılması ilk cinsel ilişki sonrası genital yaralanmaların azalmasına yardımcı olabilir.

Kaynakça

  • References 1. Abasiattai AM, Etuk SJ, Bassey EA, et al. Vaginal injuries during coitus in Calabar: a 10-year review. Niger Postgrad Med J 2005;12(2):140-4.
  • 2. Habek D, Kulas T. Nonobstetrics vulvovaginal injuries: mechanism and outcome. Arch Gynecol Obstet 2007;275(2):93- 7.
  • 3. Katz VL. Benign gynecologic lesions: vulva, vagina, cervix, uterus, oviduct, ovary, ultrasound imaging of pelvic structures. In: Lentz GM, Lobo RA, Gershenson DM, et al, eds. Comprehensive Gynecology. Philadelphia, PA: Mosby- Elsevier; 2012:383-432. (Textbook chapter)
  • 4. Borhart J. Emergency department management of vaginal bleeding in the nonpregnant patient. Emerg Med Pract 2013;15(8):1-20.
  • 5. Zink T, Fargo JD, Baker RB, et al. Comparison of methods for identifying ano-genital injury after consensual intercourse. J Emerg Med 2010;39(1):113-8.
  • 6. Schmidt AB, Lykkebo AW. Post-coital genital injury in healthy women: A review. Clin Anat 2015;28(3):331-8.
  • 7. Lincoln C, Perera R, Jacobs I, et al. Macroscopically detected female genital injury after consensual and non- consensual vaginal penetration: a prospective comparison study. J Forensic Leg Med 2013;20(7):884-901.
  • 8. Mc Lean I, Roberts SA, White C, et al. Female genital injuries resulting from consensual and non-consensual vaginal intercourse. Forensic Sci Int 2011;204(1-3):27-33.
  • 9. Banerjee A. Coital emergencies. Postgrad Med J 1996;72(853):653-6.
  • 10. Hoffman RJ, Ganti S. Vaginal laceration and perforation resulting from first coitus. Pediatr Emerg Care 2001;17(2):113-4.
  • 11. Jeng CJ, Wang LR. Vaginal laceration and hemorrhagic shock during consensual sexual intercourse. J Sex Marital Ther 2007;33(3):249-53.
  • 12. Sloin MM, Karimian M, Ilbeigi P. Nonobstetric tears in the vajina. J Am Osteopath Assoc 2006; 106: 271-273.
  • 13. Tullington JE, Blecker N. Lower Genitourinary Trauma. 2020 May 22. In: StatPearls (Internet). Treasure Island (FL): StatPearls Publishing; 2020 Jan.
  • 14. Padoa A, Glick Fishman N, Tsviban A, et al. Vaginal postcoital injuries requiring surgical intervention: a case series and literature review. Int J Impot Res 2021;33(1):110-117.
  • 15. Tchounzou R, Chichom-Mefire A. Retrospective Analysis of Clinical Features, Treatment and Outcome of Coital Injuries of the Female Genital Tract Consecutive to Consensual Sexual Intercourse in the Limbe Regional Hospital. Sex Med. 2015; 3(4):256-60.
  • 16. Sau AK, Dhar KK, Dhall GI. Nonobstetric lower genital tract trauma. Aust N Z J Obstet Gynaecol 1993;33(4):433-5.
  • 17. Dickinson RL. Atlas of Human Sex Anatomy. Baltimore, Md: Williams & Wilkins Co; 1949:100 .
  • 18. Katz VL. Benign gynecologic lesions: vulva, vagina, cervix, uterus, oviduct, ovary, ultrasound imaging of pelvic structures. In: Lentz GM, Lobo RA, Gershenson DM, et al, eds. Comprehensive Gynecology. Philadelphia, PA: Mosby- Elsevier; 2012:383-432. (Textbook chapter)
  • 19. Wilson KF. Lower genital tract trauma. Aust N Z J Obstet Gynaecol 1966;6:291-3.
  • 20. McColgin SW, Williams LM, Sorrells TL, Morrison JC. Hemoperitoneum as a result of coital injury without associated vaginal injury. Am J Obstet Gynecol 1990;163 (5 Pt 1):1503-5.
  • 21. Cisse CT, Dionne P, Cathy A, et al. Lésions vaginales au cours du coït (Vaginal injuries during coitus). Dakar Med 1998;43(2):135-8.
  • 22. Dao B, Diouf A, Bambara M, et al. Les blessures vaginales au cours du coït: une série de 98 cas (Vaginal injuries during coitus: 98 cases). Contracept Fertil Sex 1995;23(6):420-2.
  • 23. Boukhanni L, Dhibou H, Zilfi W, et al. Les hémorragies post coïtales: à propos de 68 cas et revue de literature (Postcoital bleeding: 68 case-reports and review of the literature). Pan Afr Med J 2016;23:131.
  • 24. Omo-Aghoja LO, Ovbagbedia O, Feyi-Waboso P, et al. Coitally Related Traumatic Injury of the Female Genital Tract in a Nigerian Urban Setting: A-5 year review. Niger Postgrad Med J 2009;16(1):59-63.
  • 25. Inuwa U, Bako B, Mairiga AG, et al. Coital trauma as seen at the University of Maiduguri Teaching Hospital, Maiduguri. Borno Med J 2013; 10(1): 25-9.
Toplam 25 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Klinik Tıp Bilimleri
Bölüm Araştırma Makalesi
Yazarlar

Şeyhmus Tunç 0000-0002-7095-9482

Mehmet Rifat Göklü 0000-0001-7855-911X

Şerif Aksin 0000-0002-1301-2508

Cengiz Andan 0000-0002-6609-3284

Yayımlanma Tarihi 28 Ağustos 2022
Gönderilme Tarihi 6 Haziran 2022
Kabul Tarihi 19 Haziran 2022
Yayımlandığı Sayı Yıl 2022 Cilt: 19 Sayı: 2

Kaynak Göster

Vancouver Tunç Ş, Göklü MR, Aksin Ş, Andan C. Outcomes of Genital İnjuries After the First Coitus. Harran Üniversitesi Tıp Fakültesi Dergisi. 2022;19(2):261-5.

Harran Üniversitesi Tıp Fakültesi Dergisi  / Journal of Harran University Medical Faculty