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首页> 外文期刊>BJU international >Urological complications of coitus.
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Urological complications of coitus.

机译：性交的泌尿外科并发症。

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OBJECTIVE: To ascertain the urological complications of coitus, as the proximity of the lower urinary tract to the organs of coitus exposes the tract to coital trauma. MATERIALS AND METHODS: Medline was searched from 1966 to 2000 to identify reports on coital injuries. Publications and relevant references were retrieved. Those reporting urological complications were selected for analysis. RESULTS: In all, 1454 cases of reported coital injuries were reviewed; 790 occurred in men while 664 occurred in women, mainly in the genital area. Physical urological complications were more common in men than in women. The injuries were often sustained during voluntary coitus, but one penile fracture was sustained during an attempted rape. The presentations included penile swellings and deviations, haemorrhage, erectile dysfunction and urinary incontinence. Complications included vesicovaginal fistulae, bladder and cavernosal ruptures, and urinary tract infections. Rare complications included isolated rupture of the penile vasculature. Major risk factors included penovaginal disproportion, excessive force at coitus, urethral coitus, fellatio and anal intercourse. Urethral injuries were the commonest complications; in men these were associated with 10-38% of penile fractures. The treatments included cold compress and anti-inflammatory agents in contusions, repairs of lacerations, closure of fistulae and urethral and vaginal reconstruction. The results of treatment were essentially good. Recurrent penile fractures were reported. CONCLUSION: Coitus, although pleasurable, may be risky. The complications have been termed 'faux pas' implying that they are preventable. While the ultimate prevention is abstinence, this is an unrealistic prescription. Therefore, efforts are necessary to identify risk factors to enable preventive strategies.
机译：目的：确定性交的泌尿外科并发症，因为下泌尿道靠近性交器官会使尿道遭受性交创伤。材料与方法：从1966年至2000年对Medline进行了搜索，以鉴定有关性伤害的报告。检索出版物和相关参考文献。选择那些报告泌尿系统并发症的患者进行分析。结果：共检查了1454例报告的性伤害病例;男性发生790例，女性发生664例，主要发生在生殖器区域。男性泌尿外科并发症多于女性。通常在自愿性交中受伤，但在一次强奸未遂期间发生了一个阴茎骨折。报告包括阴茎肿胀和偏离，出血，勃起功能障碍和尿失禁。并发症包括膀胱阴道瘘，膀胱和海绵体破裂以及尿路感染。罕见的并发症包括阴茎脉管系统孤立性破裂。主要危险因素包括阴道阴道比例失调，性交时过度用力，尿道性交，口交和肛门性交。尿道损伤是最常见的并发症。在男性中，这些与阴茎骨折的10％至38％有关。治疗包括挫伤的冷敷和抗炎药，撕裂伤的修复，瘘管的闭合以及尿道和阴道的重建。治疗结果基本良好。据报道阴茎复发性骨折。结论：性交虽然很愉快，但可能有危险。这些并发症被称为“假肢”，这意味着它们是可以预防的。虽然最终的预防是节制，但这是不现实的处方。因此，必须努力确定风险因素以采取预防策略。

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