title: Prominent metalware from pelvic surgery causing dyspareunia.
abstract: We present a case of female dyspareunia secondary to metalware placement during extensive pelvic surgery following a motor vehicle accident. The patient initially had an uneventful recovery from her operations. However, she noticed pain with vaginal intercourse, due to a screw tip which was palpable on vaginal examination. X-ray imaging confirmed long screws in the medial part of an anterior column plate, which were impacting on the anterior vaginal wall. Subsequent percutaneous removal of two screws resulted in resolution of her symptoms of painful vaginal intercourse. While the pain from mechanical irritation of the vagina was resolved, the patient continues to have difficulty with intercourse, which is related to hip pain as a result of her initial injury and complex pelvic surgery.
authors.affiliation: Department of Orthopaedic Surgery, The Royal Melbourne Hospital, Parkville, Victoria, Australia.
authors.forename: Mithun
authors.initials: M
authors.lastname: Nambiar
authors.affiliation: Department of Orthopaedic Surgery, The Royal Melbourne Hospital, Parkville, Victoria, Australia.
authors.forename: Samuel Raymond
authors.initials: SR
authors.lastname: Heaton
authors.affiliation: Department of Orthopaedic Surgery, The Royal Melbourne Hospital, Parkville, Victoria, Australia.
authors.forename: Andrew John
authors.initials: AJ
authors.lastname: Stevenson
authors.affiliation: Department of Orthopaedic Surgery, The Royal Melbourne Hospital, Parkville, Victoria, Australia.|Department of Surgery (RMH), The University of Melbourne, Royal Melbourne Hospital, Melbourne, Victoria, Australia.
authors.forename: Andrew Thomas
authors.initials: AT
authors.lastname: Bucknill
mesh_terms: D000063:Accidents, Traffic; D000077:Acetabulum / Q000293:injuries / Q000601:surgery; D000328:Adult; D001863:Bone Screws / Q000009:adverse effects*; D020878:Device Removal; D004414:Dyspareunia / Q000209:etiology*; D005260:Female; D005548:Foreign-Body Migration / Q000601:surgery; D005593:Fracture Fixation, Internal / Q000009:adverse effects / Q000295:instrumentation; D006801:Humans; D010384:Pelvic Bones / Q000293:injuries* / Q000601:surgery; D013978:Tibial Fractures / Q000601:surgery; D016896:Treatment Outcome; D014621:Vagina