title: Female urethral and bladder neck injury after rape: an appraisal of the surgical management.
abstract: The aim of this study was to discuss the surgical management of urethral and bladder neck injury after urethral coitus during rape. A 21-year-old lady presented with total urinary incontinence of 1-year duration after being raped. On examination, she had urethral laceration and a patulous urethra and bladder neck suggesting urethral coitus during the rape. Her introitus and vagina were however normal. She had repair of her urethral laceration and plication of her urethra and bladder neck via a vaginal approach. She regained her continence and voids without any residual urine. Urethral coitus is rare. Urethral coitus in the presence of a normal introitus and vagina is very rare. The urethral and bladder neck injury resulting from this can be satisfactorily corrected by urethral and bladder neck plication via a vaginal approach with the vaginal incisions positioned to forestall suture line apposition, which may lead to wound failure.
authors.affiliation: Urology Division, Department of Surgery, College of Medicine, University of Ibadan and University College Hospital, PMB 5116, Ibadan, Nigeria. liokeke@yahoo.com
authors.forename: L I
authors.initials: LI
authors.lastname: Okeke
authors.forename: Oseremen
authors.initials: O
authors.lastname: Aisuodionoe-Shadrach
authors.forename: Afie I
authors.initials: AI
authors.lastname: Ogbimi
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D011902:Rape; D012725:Sexual Behavior; D014521:Urethra / Q000293:injuries* / Q000601:surgery; D001743:Urinary Bladder / Q000293:injuries* / Q000601:surgery; D014549:Urinary Incontinence / Q000209:etiology* / Q000601:surgery*