Ruiz del Castillo J, Sellés Dechent R, Millán Scheiding M, Zumárraga Navas P, Asencio Arana F
Service of General and Digestive Surgery, Arnau de Vilanova Hospital, Valencia, Spain.
Rev Esp Enferm Dig. 2001 Oct;93(10):631-4.
The aim of this study is to describe 17 cases of colorectal foreign bodies introduced during sexual activity, gathered by the authors over the past twenty years (1980-2000), and to establish diagnostic and therapeutic guidelines for these situations.
A total of 17 patients were treated for rectal trauma caused by foreign bodies due to unusual sexual practice. The extraction of the foreign body was possible through the canal anal in 10 cases using different techniques (gynecological forceps, Foley catheters, etc.), whereas 7 patients required surgical treatment; in five patients a protective colostomy was needed, and in the other two a simple suture of the rectal lesion was performed.
There were no deaths and no post-operative complications. In all cases the colostomy was closed 3-6 months after surgery. There were no cases of anal incontinence.
A detailed clinical history and physical examination are essential for the diagnosis and management of these lesions, in addition to any other diagnostic techniques that might be necessary. Great care should be taken when extracting the foreign body so as to avoid its breakage inside the rectum, which would complicate a rather simple problem.
本研究的目的是描述作者在过去二十年（1980 - 2000年）收集的17例在性活动中插入结直肠的异物病例，并为这些情况制定诊断和治疗指南。
共有17例患者因异常性行为导致异物引起直肠创伤而接受治疗。10例患者通过肛管采用不同技术（妇科镊子、 Foley导管等）成功取出异物，而7例患者需要手术治疗；5例患者需要行保护性结肠造口术，另外2例患者对直肠损伤进行了简单缝合。
无死亡病例，也无术后并发症。所有病例的结肠造口术均在术后3 - 6个月关闭。无肛门失禁病例。
除可能需要的任何其他诊断技术外，详细的临床病史和体格检查对于这些损伤的诊断和处理至关重要。取出异物时应格外小心，以免其在直肠内破裂，使本就简单的问题复杂化。
