Case Report

Unexpected Massive Perineal Destruction Following Consensual Coitus: A case Report

Gaafar Abdulrahman¹, Ibrahim Ismail M. Abu^2*

¹MD, FMAS and DMAS. DIRMAS . Consultant in Obstetrics and Gynecology, Assistant Professor, University of Al Fashir, Faculty of medicine, Al Fashir, Sudan
²MD, Applied epidemiology fellowship. MPH. Associate professor, Faculty of Medicine, King Abdelaziz University, Jeddah, Saudi Arabia

*Corresponding Author's Email: burha75@gmail.com

Received: 03 September 2022  I  Accepted: 13 October 2022  I  Published: 24 October 2022  I  Article ID: MRJMMS22065
Copyright © 2022 Author(s) retain the copyright of this article.
This article is published under the terms of the Creative Commons Attribution License 4.0.

Abstract

Vigorous sexual penetration with penovaginal disproportion may result in severe vaginal injuries that may require prompt surgical intervention. Sexual activity is a common cause of vaginal tears with variable degrees. Vaginal tears could be caused by penis, fall in a sharp object, finger or another object that a person inserts in the vagina causing damage to its delicate tissues, particularly in presence of other predisposing factors. We intend to describe and manage this unusual and interesting case of vaginal tears following consensual coitus. The undue force of the penis creates a tunnel between the anterior wall of the rectum and vagina leading to disruption of external anal sphincter with severe bleeding and fecal incontinence. Subvaginal tunnel was obliterated by interrupted stitches repair. External anal sphincter sutured by end to end anastomosis technique. No acute or short-term complications.

Keywords: Coital, Disruption, Genital tract, Perineal, Laceration, Vaginal