Anate M
West Afr J Med. 1989 Jul-Sep;8(3):217-22.
Over a six-year period (1982-1987), 36 cases of vaginal trauma at sexual intercourse managed in the gynaecological unit of the University of Ilorin Teaching Hospital are presented. The serious nature of this accident is stressed. The frequent involvement of the posterior fornix of the vagina, accounting for 50% of the cases is shown. Perforation of the pouch of Douglas with possible intestinal prolapse, and involvement of the urinary bladder resulting in vesicovaginal fistula are not common in Ilorin. The predisposing factors like rough coitus, first sexual intercourse, puerperium, surgical alteration of the vagina, peno-vaginal disproportion and multiparity are discussed. The importance of adequately preparing the women emotionally and physically for coitus, a matter which certain males tend to ignore, is emphasized. The necessity for thorough digital as well as speculum examination in all cases of vaginal bleeding is made. There was no death recorded, while the morbidity was mainly hypovolaemic shock with haemorrhagic anaemia.
在六年期间（1982 - 1987年），本文介绍了伊洛林大学教学医院妇科收治的36例性交所致阴道创伤病例。强调了这一事故的严重性。结果显示，阴道后穹窿频繁受累，占病例的50%。在伊洛林，Douglas窝穿孔伴可能的肠脱垂以及膀胱受累导致膀胱阴道瘘并不常见。文中讨论了诸如粗暴性交、初次性交、产褥期、阴道手术改变、阴茎 - 阴道比例失调和多产等诱发因素。强调了在性交前充分让女性在情感和身体上做好准备的重要性，而某些男性往往忽视这一点。指出对于所有阴道出血病例进行全面的指诊和窥器检查的必要性。没有记录到死亡病例，发病率主要为低血容量性休克伴失血性贫血。
