title: Surgical resolution of obstructive dyspareunia after traumatic pelvic injury.
abstract: As more of the patients with traumatic pelvic injuries survive, they desire an optimal quality of life, including normal sexual function, even after the most severe injuries. We present the case of a 31-year-old woman who had dyspareunia due to impaired vaginal penetration after severe pelvic injury. After excision of a disunited fragment of pelvic bone and an adhesion band at the vaginal wall, dyspareunia was considerably resolved and the patient resumed sexual function. In cases of severe pelvic injury, physicians used to be satisfied with the patient's survival alone, and tended to regard sexual dysfunction as a trivial outcome. However, restoration of sexual function is an important part of management of these patients. In selected cases, obstructive dyspareunia resulting from traumatic pelvic injury can be managed by planned surgical intervention.
authors.affiliation: Department of Obstetrics and Gynecology, The Catholic University of Korea Daejeon St Mary's Hospital, Daejeon, South Korea.
authors.forename: Yoon Kyung
authors.initials: YK
authors.lastname: Lee
authors.forename: Su Mi
authors.initials: SM
authors.lastname: Kim
authors.forename: In Cheul
authors.initials: IC
authors.lastname: Jeung
authors.forename: Eun Kyung
authors.initials: EK
authors.lastname: Park
authors.forename: Weon Yoo
authors.initials: WY
authors.lastname: Kim
authors.forename: Yong Seok
authors.initials: YS
authors.lastname: Lee
mesh_terms: D000328:Adult; D004414:Dyspareunia / Q000209:etiology* / Q000601:surgery; D005260:Female; D017759:Fractures, Malunited / Q000150:complications*; D006801:Humans; D011630:Pubic Bone / Q000293:injuries*
keywords: dyspareunia; pelvic injury; sexual dysfunction; sexual intercourse; trauma