Medical hazards of the water skiing douche

Many injuries can result from water skiing accidents, but the water skiing "douche" is unique to this sport. Although generally causing only discomfort, significant trauma can result from the forceful entry of water into the various body orifices. A case of otitis media attributed to this phenomenon is described. The hazards of vaginal and rectal laceration, salpingitis, tubo-ovarian abscess with resultant infertility, induced abortion, and associated complications are reviewed. In addition to sinusitis, otitis media and tympanic membrane rupture, other potential upper airway and auditory complications are enumerated.