Bowel Evisceration Through the Bladder Neck in a Paraplegic Female Secondary to Urethral Coitus
Version of Record online: 3 JAN 2012
© 2011 International Society for Sexual Medicine
The Journal of Sexual Medicine
Volume 9, Issue 4, pages 1226–1228, April 2012
How to Cite
Brown, E. T., Koski, M. E. and LaCour, S. M. (2012), Bowel Evisceration Through the Bladder Neck in a Paraplegic Female Secondary to Urethral Coitus. Journal of Sexual Medicine, 9: 1226–1228. doi: 10.1111/j.1743-6109.2011.02572.x
- Issue online: 28 MAR 2012
- Version of Record online: 3 JAN 2012
- Bladder Injury;
- Urethral Coitus;
- Bowel Evisceration;
- Female Urethral Pathology;
Introduction. Urethral coitus is rarely reported in the literature. The majority of reported cases have been secondary to vaginal agenesis or hymenal anomalies.
Aim. We report a case of urethral coitus in a paraplegic patient with a patulous urethra resulting from chronic indwelling catheter use, with the unfortunate presentation of bladder rupture and evisceration per urethra. To our knowledge, this is the only report of urethral coitus due to sequelae from an indwelling catheter, as well as the only report of the subsequent complication of bowel evisceration per urethra.
Results. After initial temporization at an outside facility, we were able to perform primary cystorrhaphy. There was no need for bowel resection. The patient has chosen to defer her decision on permanent reconstruction.
Conclusions. Urethral coitus is rare and the subsequent ramifications can be devastating, particularly in neurologically impaired patients. This unusual case speaks to the importance of properly caring for the neurogenic bladder. Brown ET, Koski ME, and LaCour SM. Bowel evisceration through the bladder neck in a paraplegic female secondary to urethral coitus. J Sex Med 2012;9:1226–1228.