Non-obstetric vulval trauma

Jones, Ian S.C. and O'Connor, Alan (2013) Non-obstetric vulval trauma. EMA - Emergency Medicine Australasia, 25 1: 36-39. doi:10.1111/1742-6723.12016

Author Jones, Ian S.C.
O'Connor, Alan
Title Non-obstetric vulval trauma
Journal name EMA - Emergency Medicine Australasia   Check publisher's open access policy
ISSN 1742-6731
Publication date 2013-02-01
Year available 2012
Sub-type Article (original research)
DOI 10.1111/1742-6723.12016
Open Access Status Not Open Access
Volume 25
Issue 1
Start page 36
End page 39
Total pages 4
Place of publication Richmond, VIC, Australia
Publisher Wiley-Blackwell Publishing Asia
Language eng
Formatted abstract
Objective: To describe the mechanism, injury pattern and management of women who present to the ED with non-obstetric vulval trauma.

Methods A retrospective, single-institution case series was carried out. Data were sourced from medical records of women who presented to the ED and Royal Brisbane and Women's Hospital between 2007 and 2011. Records of possible injuries to the vulva were assessed to determine incidence, age, site, type of injury, mechanism of injury and whether urinary retention required treatment. This information was analysed using the computer software Statistical Package for the Social Sciences 11.0.

Results Vulval non-obstetric trauma was found in 19 of 519 cases, resulting in haematoma formation, lacerations, tears or a combination of the three in 16 of the 19 cases. Injuries were due to falling astride a firm object, consensual coitus, sexual assault, cold waxing and tight clothing. Urinary retention occurred in three cases. Site of injury, whether anterior or posterior, was evenly distributed irrespective of the mechanism of injury. Haematomas were treated conservatively and bleeding lacerations sutured. None required resuscitation.

Conclusions Non-obstetric vulval injuries are uncommon (incidence 3.7%). All cases require assessment for vaginal, urethral, anal and bony pelvis injuries. This might require examination under anaesthesia. Conservative management of haematomas in the absence of acute haematoma expansion is favoured. The need to screen for sexually transmissible infections and pregnancy is important. Social worker and psychological support is important to reduce the incidence of long-term psychological problems.
Keyword Diagnosis
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Article first published online: 29 NOV 2012

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2013 Collection
School of Medicine Publications
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Created: Thu, 10 Jan 2013, 23:00:28 EST by Matthew Lamb on behalf of School of Medicine