These cases demonstrate the extreme spectrum of genital injury
Discussion Traumatic recto vaginal fistulae are rare with implications for both immediate morbidity and mortality and long term physical and mental well being. These cases demonstrate the extreme spectrum of genital injury that may be associated with consensual sexual activity. Recognition that this severity of injury can occur following consensual activity is important and our first patient’s story also highlights some of the public health implications concerning the use and regulation of sex toys..
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