Postcoital Vaginal Rupture in a Young Woman with No Prior Pelvic Surgery JOURNAL OF SEXUAL MEDICINE Austin, J. M., Cooksey, C. M., Minikel, L. L., Zaritsky, E. F. 2013; 10 (8): 2121-2124


Reports of postcoital vaginal rupture in the literature are limited to cases involving women who are postmenopausal, have recently undergone pelvic surgery, or have suffered genitourinary trauma.We report a case of postcoital vaginal rupture in a 23-year-old woman with no prior surgical history who complained of acute onset, severe vaginal pain after consensual intercourse.Examination under anesthesia revealed a 6-cm laceration of the posterior fornix, which extended into the abdominal cavity. The laceration was repaired using a combined vaginal and laparoscopic approach.Coitus-induced vaginal rupture in a reproductive aged woman with no prior pelvic surgery or other risk factors is a rare clinical presentation. Prior reports of rupture in premenopausal women have recommended repair via laparotomy. This case documents successful transvaginal and laparoscopic repair, and reviews the etiological mechanisms for coitus-induced injury.

View details for DOI 10.1111/j.1743-6109.2012.02682.x

View details for Web of Science ID 000322585400027

View details for PubMedID 22429501