Periurethral lacerations due to sexual intercourse

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At the very end of your labour the skin and muscles around your vagina thin and stretch to allow your baby to be born. It is quite common for women to have some form of perineal or vaginal tearing. Third and fourth degree tears are an uncommon complication of childbirth that may affect your bowel, bladder and sexual function for varying amounts of time.

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Vaginal tears are common during childbirth. Women at a higher risk of vaginal tears include:. Tears can heal within 7 to 10 days with appropriate treatment.

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Family physicians who deliver babies must frequently repair perineal lacerations after episiotomy or spontaneous obstetric tears. Effective repair requires a knowledge of perineal anatomy and surgical technique. Perineal lacerations are classified according to their depth.

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One of the most common surgical procedures for an obstetrician is primary repair of a perineal laceration, whether spontaneous or after episiotomy. Although anal sphincter injury is not common, with an incidence of 0. If not identified your patient may suffer from flatal or fecal incontinence and is at an increased risk of infection.

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If your institution subscribes to this resource, and you don't have a MyAccess Profile, please contact your library's reference desk for information on how to gain access to this resource from off-campus. How should the initial evaluation of vaginal and vulvar trauma be approached? What other considerations must be made when evaluating a patient experiencing vaginal or vulvar trauma?

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Open Journal of Obstetrics and Gynecology Vol. Objective: To describe the mechanism, injury pattern and management of women who present to the Emergency Department with non-obstetric vaginal trauma. Methods: A retrospective, single institution case series was carried out.

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Perineal tears tend to be associated with giving birth, but they can occur as a result of sexual intercourse, too. Perineal tears are when the skin separating the vagina and the anus, called the perineum, is pulled apart and lacerates. But as we mentioned, perineal tears can happen during sexual intercourse, often as a result of rough penetrative sex without proper lubrication.

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The female perineum is the diamond-shaped inferior outlet of the pelvis, bordered by the pubic symphysis anteriorly and the coccyx posteriorly. Posterior perineal trauma can affect the posterior vaginal wall, perineal muscle, perineal body, external and internal anal sphincters, and anal canal. During labour, the majority of perineal tears occur along the posterior vaginal wall, extending towards the anus.

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There, we said it. And how to lessen the odds that it will. Tears are common in women having their first vaginal birth. These obstetric tears are almost always tears of the perineum the area between the vagina and rectum that occur when pushing a baby out.

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