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Vaginal Tissue Injury
Cervical%2FVaginal Trauma

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

  • Pain

    When the vagina is dry and undilated, penetration is more painful. Fear of being in pain can make the discomfort worse. Even after the original source of pain has disappeared, a woman may feel pain simply because she expects pain. [en.wikipedia.org]

    Some of the most heartbreaking chronic pain cases involve vaginal pain. Patients who deal with this pain are brave. [caringmedical.com]

    […] to painful intercourse. [medicalnewstoday.com]

    Excess stress and distress about vulvar pain impact how a woman processes the pain in her brain. So one of the goals of therapy is to decrease the severity of the pain and decrease the impact that the pain has on her life. [foxnews.com]

    The pain of vaginismus ends when the sexual attempt stops, and, usually, intercourse must be halted due to pain or discomfort. [vaginismus.com]

  • Weakness

    Sometimes, this is caused by weak supporting pelvic tissues and muscles. Childbirth, chronic cough, age, and constipation can lead to this pelvic muscle weakness. [utswmedicine.org]

    When these ligaments become weak, they are unable to maintain pelvic stability and can cause pain. They may also be tender to palpation (touch). [caringmedical.com]

    If you lost a lot of blood, you may feel weak. Rest as needed until you feel stronger. Avoid touching the tear while it is healing. Don’t douche unless your healthcare provider says it’s OK. Wait to use tampons or have sex until the tear has healed. [fairview.org]

    It occurs due to weakness of or damage to the structures which hold the pelvic organs in place. This causes one or more of the pelvic organs (bladder, bowel and uterus or womb) to bulge against or sag down into the vagina. [brochures.mater.org.au]

    Biofeedback If the pelvic floor muscles are tight and weak because they’re reacting to chronic pain, biofeedback can work to lengthen the pelvic floor, Osborne said. [foxnews.com]

  • Surgical Procedure

    Recent FDA Warnings: The Risks of Vaginal Mesh in Surgical Procedures On July 13, 2011, the FDA issued new warnings in an update on the serious complications associated with transvaginal placement of surgical mesh. [agoodlawfirm.com]

    Chronic pain and discomfort Legal Assistance for Women who Have Transvaginal Mesh Erosion If you underwent a surgical procedure for pelvic organ prolapse or stress urinary incontinence and were injured due to the use of transvaginal mesh implants, you [rosenfeldinjurylawyers.com]

    Surgical mesh is a woven fabric of fine wire used during surgical procedures to repair, reinforce, and strengthen weakened tissues. [abclawcenters.com]

    Anterior vaginal wall repair is a surgical procedure used to correct a condition called vaginal prolapse. “Prolapse” means to slip out of place. In the case of a vaginal prolapse, your bladder or urethra slips down into your vagina. [healthline.com]

    Patients who experience mesh erosion or organ perforation often require extensive treatment, including surgical procedures, IV therapy, blood transfusions, and drainage of hematomas or abscesses. [injury.findlaw.com]

  • Disability

    […] recruiting, training, and employment decisions are made in accordance with applicable federal, state, and local laws and without regard to race, color, ancestry, national origin, gender, pregnancy, gender identity, sexual orientation, religion, age, disability [sclhealth.org]

    Please enable JS and disable any ad blocker [obgyn.net]

    Support Groups Infographics How CRISPR Works Disability Resource Guides National Resources Michigan Resources Ohio Resources Pennsylvania Resources Sensory Play Catalog Medical Malpractice Law: An Overview Statute of Limitations Scholarship Contact Us [abclawcenters.com]

    Even better would have been a group of patients who believed they were receiving the treatment but were in fact receiving no therapy at all (a “blinded control”) – which presumably could easily have been achieved by disabling the machine so that the patient [torontophysiotherapy.ca]

  • Sepsis

    Begins with infection that develops to bacteremia, then systemic inflammatory response syndrome with sepsis; this turns to sepsis (a systemic response to infection) which later turns into severe sepsis, then septic shock and lastly multiple organ dysfunction [quizlet.com]

    Some of the general telltale signs include: sepsis, nausea, vomiting, diarrhea, abdominal pain, drainage, fever, chills, and a general feeling of fatigue. [woundsource.com]

    Lab investigations for RVF includes a CBC to check for sepsis. [sharinginhealth.ca]

Respiratoric

  • Cough

    maintaining a healthy weight treating a chronic cough treating chronic constipation lifting properly by bending your knees Most often, the benefits of anterior vaginal wall repair outweigh the risks. [healthline.com]

    A woman may be asked to bear down (as when having a bowel movement) or to cough. She may be examined while standing with one foot on a stool. [merckmanuals.com]

    The numbers 1-4 indicate damage to specific ligaments which may cause Stress incontinence (urine leakage with coughing or exercise). Cystocoele (bulging of the bladder into vagina). Prolapse of the uterus ("fallen womb"). [integraltheory.org]

    Causes of pelvic organ prolapse Causes of POP include vaginal childbirth, trauma, nerve damage, muscle strain, increased abdominal pressure (often due to being overweight, chronic cough, or straining), and age, which naturally weakens muscles. [urogyn.coloradowomenshealth.com]

    While POP is a weakening of the pelvic muscles that allows organs to slip out of place, SUI is the loss of bladder control brought on by a cough, sneeze, exercise, laughter, or other strenuous activity. [injury.findlaw.com]

  • Sneezing

    While POP is a weakening of the pelvic muscles that allows organs to slip out of place, SUI is the loss of bladder control brought on by a cough, sneeze, exercise, laughter, or other strenuous activity. [injury.findlaw.com]

    This might cause urine leakage during coughing and sneezing or a bulge in the vagina. Other rare conditions. Vaginal cysts can cause pain during sex or make it difficult to insert a tampon. [mayoclinic.org]

Gastrointestinal

  • Diarrhea

    Low blood counts The diarrhea caused by radiation can usually be controlled with over-the-counter medicines. Nausea and vomiting can be treated with medicines from your doctor. [cancer.org]

    Some of the general telltale signs include: sepsis, nausea, vomiting, diarrhea, abdominal pain, drainage, fever, chills, and a general feeling of fatigue. [woundsource.com]

    The side effects of chemotherapy depend on the individual and the dose used, but can include fatigue, risk of infection, nausea and vomiting, hair loss, loss of appetite, and diarrhea. These side effects usually go away after treatment is finished. [cancer.net]

    Taking antibiotics exposes you to the risks of allergic reactions and antibiotic side effects (such as nausea, vomiting, diarrhea, and yeast infections). Also, antibiotics may kill good bacteria. [peacehealth.org]

  • Fecal Incontinence

    In the months following the revision repair, the patient reported having one-to-three incidents of fecal incontinence per day. To address the fecal incontinence, the patient underwent a sphincteroplasty 20 months following childbirth. [practicalpainmanagement.com]

    If a perineal tear is not properly diagnosed and treated it could lead to chronic pelvic pain, urinary incontinence, fecal or stool incontinence, dyspareunia or painful intercourse or a recto-vaginal fistula where there is a passageway from the intestine [beasleyfirm.com]

    Rectovaginal Fistula: fecal incontinence, hygiene problems, recurrent vaginal or urinary tract infections, irritation or inflammation of your vagina, perineum or the skin around your anus, the formation of an abscess, and fistula reoccurrence. [woundsource.com]

    In consequence, dysfunctions as abnormal emptying of the bladder, urgency, pelvic pain, fecal incontinence and obstructed defecation can occur in women with different degrees of POP. [caringmedical.com]

  • Loss of Appetite

    The side effects of chemotherapy depend on the individual and the dose used, but can include fatigue, risk of infection, nausea and vomiting, hair loss, loss of appetite, and diarrhea. These side effects usually go away after treatment is finished. [cancer.net]

Skin

  • Skin Ulcer

    ulcerations or discharge associated with vulvovaginal infections or vaginal atrophy. [en.wikipedia.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

  • Urinary Incontinence

    Transvaginal mesh also produced twice the number of cases involving post-operative stress urinary incontinence. [rosenfeldinjurylawyers.com]

    While trans-vaginal mesh implants are a popular treatment for pelvic organ prolapse and stress urinary incontinence, there are also great risks and potential liability on the part of manufacturers. [koesterlawllp.com]

    It is utilized in procedures to repair hernias, to perform chest wall reconstructions, and to create slings for stress urinary incontinence (SUI). [abclawcenters.com]

    The mesh used to repair the vagina is different from that used to treat urinary incontinence. [merckmanuals.com]

  • 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]

  • 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]

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