Genital injuries acute evaluation and management
Heather N Lopez1, Mariel A Focseneanu2, Diane F Merritt3
1Department of Obstetrics and Gynecology, Washington University School of Medicine in Saint Louis, 660 South Euclid, Saint Louis, MO, 63110, Barnes Jewish Hospital, USA.
Best Practice & Research. Clinical Obstetrics & Gynaecology
|November 10, 2017
Summary
Genital trauma can cause injuries to various organs and structures. Prompt recognition and management are crucial to prevent long-term complications like infertility and fistula formation.
Area of Science:
- Gynecology
- Trauma Surgery
- Public Health
Background:
- Genital trauma encompasses injuries to external and internal structures.
- Childbirth is a common cause, but this chapter focuses on accidental injuries, sexual violence, and female genital mutilation.
- Untreated genital trauma can lead to chronic discomfort, dyspareunia, infertility, and fistula formation.
Purpose of the Study:
- To highlight the importance of recognizing and managing genital trauma.
- To emphasize the need for comprehensive patient care, addressing physical, mental, and emotional needs.
Main Methods:
- Review of literature on genital trauma.
- Focus on accidental injuries, sexual violence, and female genital mutilation.
- Discussion of clinical recognition and initial management strategies.
Main Results:
- Genital trauma can affect the labia, vulva, vagina, urethra, anus, bony pelvis, bladder, bowels, and reproductive organs.
- While rarely fatal, complications include chronic pain, infertility, and fistulas if not managed.
- Effective management requires prompt clinical recognition and addressing holistic patient needs.
Conclusions:
- Genital trauma necessitates prompt clinical attention.
- Comprehensive management is vital to mitigate severe long-term health consequences.
- Addressing the patient's overall well-being is paramount in managing genital injuries.
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