Presentation
Patients usually present with urinary incontinence through the vagina which may be accompanied by fever and chills 1. Symptoms usually begin within 2-4 weeks following pelvic surgery or trauma. [radiopaedia.org]
The classical presentation of VVF is an unexplained, continual leakage of urine from the vagina. An RVF often presents as passage of flatulence &/or stool through the vagina. [sharinginhealth.ca]
For severe prolapse of the uterus or vagina, the uterus, if still present, is usually removed (hysterectomy). [merckmanuals.com]
The mode of injury may cause other injuries that can distract attention from more serious problems that are undiagnosed at presentation. [patient.info]
The subsequent effects of oestrogen depletion can have a significant impact on sexual function, quality of life and daily activities. 1 Aetiology and clinical presentation Globally, approximately 15% of premenopausal women and 50% of postmenopausal women [aestheticsjournal.com]
Entire Body System
- Falling
If the pessary is too small, it may not provide enough support or may move out of position or fall out with a hard strain or activity. Do I need estrogen? We may suggest that you use vaginal estrogen. [dartmouth-hitchcock.org]
Common examples of straddle injures include falling on a bicycle seat, monkey bars or edge of a diving board. Such accidents may result in minor injuries, such as abrasions or bruises. Unfortunately, more serious trauma can occur as well. [texaschildrens.org]
We represent clients in all types of these cases including slip-and-fall accidents and animal attacks, such as dog bites. [leiferlaw.com]
In men and young boys, common causes of genital injury include: Having the toilet seat fall down onto the area Getting the area caught in a pant zipper Straddle injury: falling and landing with the legs on each side of a bar, such as a monkey bar or the [medlineplus.gov]
The organs which may fall (prolapse) include the bladder, urethra, uterus, small bowel, vagina, and rectum. Transvaginal mesh devices or slings have been used to treat the condition through surgical implantation. [andruswagstaff.com]
- Severe Pain
Treatment depends on how severe your tear is: Shallow (superficial) tears may cause mild pain and light bleeding. These tears often heal on their own with very little treatment. Deep tears are more likely to cause more severe pain or heavy bleeding. [fairview.org]
There's usually a snapping sound when this happens, followed by severe pain, a bruised penis, and swelling. The fix: These injuries almost exclusively occur during super-rough sex, says Kaufman. [womenshealthmag.com]
- Fatigue
Side effects may include fatigue, mild skin reactions, upset stomach, and loose bowel movements. Most of these side effects go away soon after treatment is finished. [cancer.net]
Some of the general telltale signs include: sepsis, nausea, vomiting, diarrhea, abdominal pain, drainage, fever, chills, and a general feeling of fatigue. [woundsource.com]
Evidence suggests that having multiple vaginal deliveries can increase the chance of vaginal fatigue and incomplete recovery of pre-pregnancy vaginal tightness. Trauma during vaginal childbirth or other event. [torontophysiotherapy.ca]
- Dog Bite
We represent clients in all types of these cases including slip-and-fall accidents and animal attacks, such as dog bites. [leiferlaw.com]
Gastrointestinal
- Abdominal Distension
In cases of intraperitoneal bleeding, abdominal distension may occur. Diagnostic radiologic studies can be used to confirm the presence of retroperitoneal or intra-abdominal bleeding. [glowm.com]
Skin
- Flushing
Urinary Tract Infection Similar to vaginitis, urinary tract infections (UTIs) are bacterial infections that can occur in any body part involved in producing and flushing urine—mainly your kidneys, bladder, and urethra. [bicycling.com]
Douching may flush an infection up into your uterus or fallopian tubes and cause pelvic inflammatory disease (PID). The presence or excess growth of yeast cells, bacteria, or viruses can cause a vaginal infection. [peacehealth.org]
Psychiatrical
- Fear
Some cases may be psychosomatic, which can include fear of pain or injury, feelings of guilt or shame, ignorance of sexual anatomy and physiology, and fear of pregnancy. [6] In women, common causes for discomfort during sex include Infections. [en.wikipedia.org]
Less Fear. Visitor Information People of MSK Get to know the inspiring people of Memorial Sloan Kettering. [mskcc.org]
Learn more about coping with the fear of recurrence. If the cancer does return after the original treatment, it is called recurrent cancer. [cancer.net]
Anxiety, fear, and depression can inhibit sexual arousal and contribute to vaginal dryness or vaginismus Stress can trigger a tightening of the pelvic floor muscles, resulting in pain A history of sexual abuse or sexual violence may contribute to dyspareunia [medicalnewstoday.com]
This delay may be due to embarrassment because of the nature and cause of injuries or fear of spousal or parental knowledge. [jaoa.org]
Neurologic
- Seizure
[…] and HIE Birth Injury: Overview Brain Bleeds (Hemorrhages) Cerebral Palsy C-Section Errors & Delays Fetal Monitoring Errors Forceps & Vacuum Extractors Periventricular Leukomalacia (PVL) Placental Abruption Premature Birth Prolonged & Arrested Labor Seizures [abclawcenters.com]
Urogenital
- Vaginal Discharge
Signs might include abnormal vaginal discharge or genital sores. Vaginitis. An infection or change in the normal balance of vaginal yeast and bacteria can cause inflammation of the vagina (vaginitis). [mayoclinic.org]
Common symptoms of vaginal infection include: Increase or change in the vaginal discharge, including gray, green, or yellow discharge. Vaginal redness, swelling, itching, or pain. Vaginal odor. Burning with urination. Pain or bleeding with sex. [peacehealth.org]
Common symptoms of vaginal infection include: Increase or change in the vaginal discharge, including gray, green, or yellow discharge. Vaginal redness, swelling, itching, or pain. Vaginal odour. Burning with urination. Pain or bleeding with sex. [myhealth.alberta.ca]
Inflammation of the vagina after menopause in a woman who is not using hormone therapy is called "atrophic vaginitis." This condition can include redness of the vagina and vaginal discharge. [menopause.org]
- Dyspareunia
Fast facts about exercise dyspareunia Here are some facts about dyspareunia. More detail is in the main article. Dyspareunia refers to pain during sexual intercourse. It mostly affects women. Pain can range from moderate to severe. [medicalnewstoday.com]
"Dyspareunia: Painful Sex for Women". ^ McDonald, Ea; Gartland, D; Small, R; Brown, Sj (2015-04-01). "Dyspareunia and childbirth: a prospective cohort study". [en.wikipedia.org]
There was no evidence of a difference between the groups for dyspareunia or quality of life outcomes (very low-quality evidence). [cochrane.org]
The most commonly reported sexual problems in mid-life women are loss of libido and dyspareunia (painful intercourse). [repagyn.ca]
- Vaginal Bleeding
[…] lacerations to life-threatening vaginal bleeding. [jaoa.org]
Contact your provider if you have any trouble inserting or removing your pessary, or if you notice any vaginal bleeding, or abnormal discharge. [dartmouth-hitchcock.org]
- Vaginal Dryness
Menopause & Vaginal Dryness Vaginal Dryness Can Affect Your Vaginal Health Although it is not as easy to talk about as hot flashes or night sweats, vaginal dryness is a very common issue faced by women during menopause. [repagyn.ca]
If existing medications are causing vaginal dryness, a doctor may recommend alternatives. Topical estrogen may help women who experience vaginal dryness due to low estrogen levels. In 2013, the United States (U.S.) [medicalnewstoday.com]
[…] based study indicated that 27% of the population experience vaginal or genital dryness, 18.6% vaginal or genital irritation or itching, 11.1% vaginal or genital discharge, and 5.2% dysuria. 3 Although symptoms associated with vaginal atrophy in postmenopausal [clinicaladvisor.com]
In addition, the damaged mucosa may lead to reduced vaginal secretions, causing vaginal dryness and itching. 6 Significant vaginal, vulval and perineal changes may arise after radiotherapy and cause considerable pain during all phases of sexual interaction [mucosamin.com]
Sometimes, even women who are not sexually active are bothered by vaginal dryness and the irritation that may accompany it. [menopause.org]
- Dysuria
Vaginal atrophy is a collection of symptoms—including vaginal dryness, dysuria, and vulvovaginal irritation and itching—that are generally associated with declining estrogen levels attributable to menopause. [clinicaladvisor.com]
[…] injuries associated with vaginal mesh products include: pelvic and neuropathic pain, infection, urinary trouble, recurrence of prolapse and incontinence, mesh erosion, mesh shrinkage or contraction, mesh migration and exposure, scar tissue formation, dysuria [uselaws.com]
Other symptoms include urinary tract symptoms, such as nocturia, dysuria, urinary urgency and urinary incontinence. 3 The vagina is colonised with lactobacilli bacteria, which produces lactic acid and maintains an acid pH of 3.5-5, resulting in a hostile [aestheticsjournal.com]
Treatment
This makes the diagnosis and treatment of diseases of the mucosa a challenge to dermatologists as well as gynecologists, since many conditions are difficult to recognize and well-established principles of skin disease treatment do not apply to the mucosa [books.google.de]
Doctors want to learn whether the new treatment is safe, effective, and possibly better than the standard treatment. Clinical trials can test a new drug, a new combination of standard treatments, or new doses of standard drugs or other treatments. [cancer.net]
[…] and determine if follow-up treatments are required. [aestheticsjournal.com]
Medical treatment typically involves topical wound care and surgical repair, but unfortunately, treatment failure is common. [current-oncology.com]
In this situation, treatment is necessary. The goal of treatment is to recreate normal anatomy. However, treatment does not have a 100 percent success rate. [utswmedicine.org]
Prognosis
Treatment and prognosis Surgical repair is often successful in the majority of cases. Prompt nephrostomy and ureteral stent placement should suffice in most cases 3. Promoted articles (advertising) [radiopaedia.org]
Etiology
Pelvic surgery is the most common etiology of vaginal fistulas in developed countries, more commonly causing VVFs than RVFs. [sharinginhealth.ca]
Etiology The most common causes of fistulas are: Diseases: Inflammatory bowel disease in the form of Crohn's disease are the leading causes of anorectal, enteroenteral, and enterocutaneous fistulas. [woundsource.com]
Lacerations extending into the peritoneal cavity occur in less than 1% of patients. 3 The most common mechanism of nonobstetric injury to the vagina is coitus. 4 Predisposing and etiologic factors that can account for such injuries include virginity, [jaoa.org]
"Psychological Treatment for Vaginal Pain: Does Etiology Matter? A Systematic Review and Meta-Analysis". The Journal of Sexual Medicine. 12 (1): 3–16. doi : 10.1111/jsm.12717. PMID 25329756. ^ Boardman, Lori A.; Stockdale, Colleen K. (Dec 2009). [en.wikipedia.org]
Epidemiology
We provide invaluable learning opportunities for attending medical students and research opportunities in biomedical, clinical and epidemiological research across all disciplines. [sydney.edu.au]
Estrogen deficiency also interferes with many physiologic responses associated with sexual arousal, including smooth muscle relaxation, vasocongestion, and vaginal lubrication. 5 One epidemiologic study found that women experiencing sexual dysfunction [clinicaladvisor.com]
Sexual dysfunction in women: Epidemiology, risk factors, and evaluation. https://www.uptodate.com/contents/search. Accessed Feb. 8, 2018. Frequently asked questions. Gynecologic problems FAQ190. Vulvovaginal health. [mayoclinic.org]
Pathophysiology
Such conditions may include: chronic steroid use smoking poorly controlled diabetes mellitus infection malignancy return to top Pathophysiology Fistulas often occur following injury to the vaginal tissue. [sharinginhealth.ca]
Prevention
Stretching the walls of the vagina a few times a week can help prevent this problem. One way to do this is to have vaginal sex at least 3 to 4 times a week. [cancer.org]
The Fix: Like many saddle woes, the right saddle and proper bike fit can go a long way in preventing these maladies. Proper hygiene also helps. Other preventative steps include: 1. [bicycling.com]
This type of suture with high peritoneal closure helps to prevent future enterocele formation. It is entirely appropriate to use a delayed, absorbable suture, but I believe that permanent suture should be used to prevent any type of herniation. [glowm.com]