Sexual injuries during consensual sexual activity

Background: The aim of this study was to retrospectively evaluate sexual injury treated in our clinic.
Methods: We evaluated results of 31 patients with sexual injury during consensual sexual activity, referred to emergency department between January 2004-December 2010. Patients age, etiology of injury, time passed after trauma, physical/operative examination results, type of treatment, duration of hospitalization, and postoperative complications were investigated.
Results: Of 31 patients, 14 were women and 17 men. The mean age of the patients was 31.97±11.64years. Sexual injury was occurred in women as vaginal laceration, in man penile fracture. All of the cases were treated with early surgical repair. Such vaginal injuries were formed in virginal girls during first sexual intercourse. Cases were usually complained with vaginal pain and then bleeding during sexual activity. The commonest site of injury is posterior vaginal fornix. Etiology of penile fracture was sexual intercourse and masturbation. Sudden pain in penis, edema, color change, sudden detumescence were main complaints. Of patients 11 had right, 5 had left and one had both tunical ruptures, with defects of 0.5-3cm in length. Patient with bilateral injury had accompanying incomplete urethral rupture.
Conclusion: Consequently, sexual injury can effectively be diagnosed based on history and physical examination, and may be treated with successfully by early surgical procedure.

Ýstemli seksüel aktivite sýrasýnda oluþan seksüel yaralanmalar

Amaç: Bu çalýþmada kliniðimizde tedavi edilen seksüel yaralanmalarýn retrospektif olarak deðerlendirilmesi amaçlanmýþtýr.
Gereç ve Yöntem: Ocak 2004-Aralýk 2010 tarihleri arasýnda hastanemiz acil servisine istemli seksüel aktivite sýrasýnda oluþan seksüel yaralanma nedeniyle müracaat eden 31 olgu deðerlendirildi. Olgularýn yaþý, yaralanmaya sebep olan travma þekli, yaralanmadan sonra hastaneye müracaata kadar geçen süre, fiziki/operatif muayene sonuçlarý, uygulanan tedavi yöntemleri, hastanede kalýþ süreleri ve görülen komplikasyonlar incelendi.
Bulgular: Olgularýn yaþ ortalamalarý 31,97±11,64 (daðýlým 18-60) yýl, 14’ü (%45) kadýn, 17’si (%55) ise erkektir. Seksüel yaralanmalar kadýnlarda vajina laserasyonu, erkeklerde ise penis fraktürü þeklinde görülmüþtür. Olgularýn tamamýna erken dönemde cerrahi tedavi uygulanmýþtýr. Vajina yaralanmalarýnýn çoðu (%64) bakirelerde, ilk cinsel iliþki esnasýnda oluþmuþtur. Cinsel iliþki sýrasýnda vajinal aðrý ve akabinde kanama en sýk rastlanan baþvuru þikayeti idi. Yaralanmalarýn çoðu (%43) arka fornikste lokalize idi. Penis fraktürü olgularýn %76’sýnda cinsel iliþki, %24’ünde ise mastürbasyon sýrasýnda oluþmuþtur. Olgularýn tamamýnda sertleþmiþ peniste aðrý, sertleþmenin hýzlý bir þekilde kaybolmasý ve sonrasýnda penisin þiþerek morarmasý þikayeti mevcut idi. Olgularýn 11’inde sað, 5’inde sol ve birinde bilateral korpus kavernozum tunika albugineasýnda 0,5-3 cm arasýnda deðiþen uzunluklarda yýrtýk saptandý. Bilateral yýrtýlma olan olguda ayný zamanda inkomplet üretra rüptürü de vardý.
Sonuç: Genellikle detaylý bir anamnez ve fizik muayene ile taný konulabilen seksüel yaralanmalarda erken dönemde cerrahi tedavi ile yüz güldürücü sonuçlar elde edilmektedir.