Sex with a vaginal fistula

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An Extremely Rare Occurrence. Rectovaginal fistula from coital injury is reported in the case of sexual violence where excessive force will be used to control the survivor [ 2 ]. Although coitus is a physiologic phenomenon, it may sometimes be risky especially in woman with little or no foreplay. Ann Afr Med ;8: Rectovaginal fistula RVF commonly occurs from obstetrics injury. Read the latest and previous issues of the Kenyan Woman. Currently, there are two women who are in need of this service.

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The index case is reported to highlight the rare situation, where a 20 years old newly married woman developed low rectovaginal fistula following her first time coitus.

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Sexual function after vaginal and abdominal fistula repair.

Rectovaginal fistula following coitus usually arises from nonconsensual sexual intercourse in cases of sexual assault [ 2 ]. There are few case reports of rectovaginal fistula following consensual sexual intercourse [ 347 - 9 ]. Those who want to have babies can do so, but are advised to deliver through cesarean-section to prevent the problem from recurring. Doctors at KNH now say she might not enjoy sex or deliver again after her uterus and birth canal were tampered with. Vaginal injuries during coitus: The peculiarity in this case is that the fistula was found between the hymenal ring and perineal body which makes it different from the previous case reports published Figure 1. Approximately 1 in 6 U.

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