A Rare Case of Rectovaginal Fistula Following Consensual Vaginal Intercourse

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dc.authoridugurel, vedat/0000-0002-1307-4688
dc.contributor.authorUgurel, Vedat
dc.contributor.authorOzer, Dilek Pinar
dc.contributor.authorVarol, Fusun
dc.date.accessioned2024-06-12T11:17:00Z
dc.date.available2024-06-12T11:17:00Z
dc.date.issued2014
dc.departmentTrakya Üniversitesien_US
dc.description.abstractIntroductionPostcoital nonobstetric vaginal lacerations due to consensual sexual act are generally minute mucosal tears. In some cases, the vaginal mucosa is lacerated deeper and the bleeding may require suturing of opened vessel ends or even transfusion. AimThe aim of this case report is to present a rare case of acute fistula formation by penile penetration through the full thickness of the rectovaginal wall after consensual vaginal intercourse and to its management in emergency settings. MethodsWe report a rare case of isolated rectovaginal laceration sparing anal sphincters and perineum in a 24-year-old woman following her second consensual vaginal intercourse with her new partner. Speculum examination demonstrated a 4cm laceration on the left posterior vaginal wall forming a fistula between the rectum and vagina, 2cm above the hymenal ring and not extending to the posterior fornix or perineum. Three layer suturing of rectal, vaginal mucosa, and rectovaginal septum was enough to treat the acute fistula in this case. ResultsAfter 2 months follow-up, we observed the complete healing of the rectovaginal laceration with no fistula formation and the patient resumed her sexual activity. Long term follow-up of patients is necessary to observe complete healing and to ensure the absence of a chronic fistula formation. ConclusionSimple suturing of rectal and vaginal mucosa, appropriate antiseptic precautions, and antibiotic coverage are enough to treat acutely formed low rectovaginal fistulas resulting from coitus. Decision to form colostomy and diversion of feces in the repair of such injuries should be taken cautiously. Uurel V, ozer DP, and Varol F. A rare case of rectovaginal fistula following consensual vaginal intercourse. J Sex Med 2014;11:1345-1348.en_US
dc.identifier.doi10.1111/jsm.12472
dc.identifier.endpage1348en_US
dc.identifier.issn1743-6095
dc.identifier.issn1743-6109
dc.identifier.issue5en_US
dc.identifier.pmid24877178en_US
dc.identifier.scopus2-s2.0-84899480691en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage1345en_US
dc.identifier.urihttps://doi.org/10.1111/jsm.12472
dc.identifier.urihttps://hdl.handle.net/20.500.14551/24541
dc.identifier.volume11en_US
dc.identifier.wosWOS:000337293700027en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherWiley-Blackwellen_US
dc.relation.ispartofJournal Of Sexual Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectVaginaen_US
dc.subjectInjuriesen_US
dc.subjectRectovaginal Fistulaen_US
dc.subjectEtiologyen_US
dc.subjectCoitusen_US
dc.subjectConsensual Intercourseen_US
dc.subjectFecal Incontinenceen_US
dc.subjectEtiologyen_US
dc.subjectFecal Incontinenceen_US
dc.subjectSurgeryen_US
dc.subjectSexual Intercourseen_US
dc.subjectInjuryen_US
dc.titleA Rare Case of Rectovaginal Fistula Following Consensual Vaginal Intercourseen_US
dc.typeArticleen_US

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