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Vaginal Tissue Injury

Vaginal 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 mode of injury may cause other injuries that can distract attention from more serious problems that are undiagnosed at presentation.[patient.info]
  • CASE: After a total vaginal hysterectomy and posterior colporrhaphy, a 32-year-old woman presented with debilitating vaginal pain, presumed to be secondary to scar tissue formation.[ncbi.nlm.nih.gov]
  • 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]
  • 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]
Swelling
  • It is additionally important to recognize whether there is abnormal swelling, bleeding, pain or an inability to void. In these situations, it is imperative to seek medical attention immediately.[texaschildrens.org]
  • Get medical help right away if there is: A lot of swelling or bruising Blood in the urine Difficulty urinating Seek medical help right away if there is a genital injury and: Pain, bleeding, or swelling A concern about sexual abuse Problems urinating Blood[medlineplus.gov]
  • If you notice vaginal swelling, one option is to try a softer toilet paper.[glamour.com]
  • “Pressure can cause swelling because it keeps lymphatic drainage from occurring,” Minkin says. Once you have significant swelling, that can set up a vicious cycle of less drainage and more swelling.[bicycling.com]
Falling
  • 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]
  • 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]
  • 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]
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]
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]
Amnesia
  • Features 30 all-new topics, including Zika virus, hepatitis E, asthma-COPD overlap syndrome, drug-induced parenchymal lung disease, binge eating disorder, hereditary breast and ovarian cancer syndrome, transient global amnesia, and more.[books.google.de]
Personality Change
  • If you think the injury was the result of assault or abuse, DO NOT let the person change clothes or take a bath or shower. Seek medical help right away. A straddle injury is damage to the testicle or urinary tract.[medlineplus.gov]
Vaginal Discharge
  • Symptoms include vaginal discharge, odor, itching and pain. Common types of vaginitis include bacterial vaginosis, yeast infections and trichomoniasis. Pelvic floor relaxation.[mayoclinic.org]
  • Conditions that may cause a change in your normal vaginal discharge include: Infections of the vagina, such as a yeast infection , bacterial vaginosis , trichomoniasis , human papillomavirus (HPV) , or herpes .[peacehealth.org]
  • A change in your normal vaginal discharge may be the first sign of a vaginal problem. Changes in urination, such as having to urinate more frequently or having a burning feeling when you urinate, also may be a symptom of a vaginal problem.[myhealth.alberta.ca]
  • Immediately notify your doctor if you experience any of these symptoms or complications: Persistent vaginal discharge or bleeding Pelvic pain Pain during intercourse From 2008 to 2010, the complications that were reported to the FDA significantly increased[agoodlawfirm.com]
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
  • Treatment protocol for the patient with marked vaginal bleeding. Figure. Treatment protocol for the patient with marked 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]
Chordee
  • Males sometimes experience other types of urinary fistulas as a complication of hypospadias or chordee repair. Vaginal fistulas are much more common in developing regions without adequate healthcare.[denverurology.com]

Treatment

  • Ferri’s Clinical Advisor 2018 is the most efficient, intuitive, and thorough resource of its kind, trusted by physicians to provide current diagnosis and treatment recommendations for hundreds of common medical conditions.[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]
  • 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]
  • Short-term side effects Common short-term side effects of radiation therapy include: Tiredness, which may get worse about 2 weeks after treatment begins and get better over time after treatment ends Nausea and vomiting (more common if radiation is given[cancer.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. . Accessed Feb. 8, 2018. Frequently asked questions. Gynecologic problems FAQ190. Vulvovaginal health. American College of Obstetricians and Gynecologists. .[mayoclinic.org]
Sex distribution
Age distribution

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]
  • How you can prevent sexually transmitted diseases. Centers for Disease Control and Prevention. . Accessed Feb. 8, 2018. What are pelvic floor exercises? National Health Service. . Accessed Feb. 8, 2018. Shifren JL.[mayoclinic.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]
  • Sexual Health How to Talk to Your Teen About Safe Sex and STDs Emphasizing pregnancy prevention is not enough, and neither is tossing out scary statistics about sexually transmitted diseases. Remind teens that sex...[everydayhealth.com]

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