Abstract
Objective To identify the profile of women with vaginal rupture and establish a possible relationship with the factors encountered. Material and methods A review was made of those women who had attended the Maternity emergency department over the last 6 years, with acute pain, a sensation of fullness in their genital area and vaginal bleeding following “sexual relations”, or which presented “spontaneously” after making some effort. Results The majority of vaginal ruptures (96.6%) were presented as tears in young women and were associated with “sexual” relations. Vaginal ruptures with evisceration are extremely rare (6.6%), and may also present in young women, associated with sexual relations and the previous existence of some pelvic floor dysfunction. Spontaneous vaginal rupture with evisceration may present in postmenopausal women (3.3%) with pelvic floor dysfunction and possibly previous gynaecological surgery. Surgery is carried out vaginally, complications are rare, and hospital stay is very short. Conclusions Vaginal evisceration is a very rare event, and is most frequently related to pelvic dysfunction and coitus. The greatest risk factors are: hypoestronism, the postmenopausal age, and previous pelvic dysfunction. The ideal management of this serious entity is by vaginal route, although depending on the state of the eviscerated organs.
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