title: [Sexual injuries during consensual sexual activity].
abstract: BACKGROUND
  The aim of this study was to retrospectively evaluate sexual injury treated in our clinic.
  
  
  METHODS
  We evaluated the results of 31 patients (17 males, 14 females; mean age 31,97±11,64; range 18 to 60 years) with sexual injury during consensual sexual activity, who presented to the emergency department between January 2004 and December 2010. Patients' age, etiology of injury, time passed since trauma, physical/operative examination results, type of treatment, duration of hospitalization, and postoperative complications were investigated.
  
  
  RESULTS
  Sexual injury occurred in women as vaginal laceration and in man as penile fracture. All of the cases were treated with early surgical repair. Vaginal injuries were formed in virginal girls during the first sexual intercourse. Cases usually complained of vaginal pain and then bleeding during sexual activity. The commonest site of injury was the posterior vaginal fornix. Etiology of penile fracture was sexual intercourse and masturbation. Sudden pain in the penis, edema, color change, and sudden detumescence were the main complaints. Eleven patients had right, 5 had left and 1 had bilateral tunical ruptures, with defects of 0.5-3 cm in length. The patient with bilateral injury had accompanying incomplete urethral rupture.
  
  
  CONCLUSIONS
  Sexual injury can be diagnosed effectively based on history and physical examination, and may be treated successfully with early surgical procedure.
authors.affiliation: Department of Obstetrics and Gynecology, Mersin University Faculty of Medicine, Mersin, Turkey. aysunefesoy@gmail.com
authors.forename: Aysun
authors.initials: A
authors.lastname: Savaş
authors.forename: Ozan
authors.initials: O
authors.lastname: Efesoy
authors.forename: Filiz
authors.initials: F
authors.lastname: Cayan
authors.forename: Selahittin
authors.initials: S
authors.lastname: Cayan
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D022125:Lacerations / Q000209:etiology* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D010413:Penis / Q000293:injuries*; D012189:Retrospective Studies; D012421:Rupture; D012725:Sexual Behavior / Q000145:classification*; D014621:Vagina / Q000293:injuries*; D055815:Young Adult