Genital Trauma
摘要
There is a full range of genital trauma to which nonpregnant women can be exposed. These injuries are described in various classifications, textbooks, and manuals, reflecting the complexity and scope of the topic addressed in this chapter. No clear, unifying classification system currently exists to organize the diverse forms of female genitalia trauma. This chapter provides physicians with a practical, comprehensive classification to facilitate clinical evaluation, avoiding excessive subspecialist detail, which would exceed the scope of this work. The proposed classification divides genital trauma into obstetric and nonobstetric categories. Nonobstetric trauma includes iatrogenic injuries during gynecological surgery involving the female urogenital female tract and associated vasculature, and noniatrogenic damages such as unsafe abortion, pediatric trauma, ritual mutilations, accidental trauma, and sexual assault. Obstetric trauma encompasses cervical and vaginovulvar lacerations, uterine perforation or rupture, and post caesarean section complications, both functional and organic.