Obstet Gynecol Sci.  2020 Sep;63(5):679-681. 10.5468/ogs.20121.

Minimally invasive search for a missing vibrator

• Marchand GJ
• Azadi A
• Brar AK
• Sainz K
• Anderson S
• Ruther S
• Ware K
• Hopewell S
• Brazil G
• Meassick K
• Wolf H
• King A
• Vallejo J
• Cieminski K
• Galitsky A

• KMID: 2506512
• DOI: http://doi.org/10.5468/ogs.20121

Abstract

Objective
To report a unique surgical procedure that was utilized to locate a missing vibrator in the pelvis of a patient. Emergency room admissions and surgery secondary to the malfunctioning of devices intended for sexual stimulation are extremely common. Emergency room staff of hospitals in the United States usually are skilled in the detection and removal of these devices. Occasionally, surgical intervention is warranted if the device enters a cavity that cannot safely be explored in the emergency room setting. We report a case of a vibrator that was lost during sexual activity. A flat plate X-ray showed it to be in the abdominal cavity. Careful questioning of the patient revealed that the device had an unusually small diameter. Surgical intervention showed that the device ultimately ended up in the bladder without causing traumatic injury.
Methods
We created a narrated video to demonstrate the surgical procedure (Canadian Task Force Classification III).
Results
Laparoscopy and cystoscopy were used to visualize and successfully remove the device. The patient recovered uneventfully.
Conclusion
Following laparoscopic confirmation of the location of the device, it was removed via cystoscopy. This case demonstrates how background information, such as the size of the missing device in this case, can be critical to providing high quality patient care.

Keyword

Cystoscopy; Laparoscopy; Foreign bodies; Vibrator

Reference

References

1. Haft JS, Benjamin HB, Wagner M. Vaginal vibrator lodged in rectum. Br Med J. 1976; 1:626.

2. McLean I, Roberts SA, White C, Paul S. Female genital injuries resulting from consensual and non-consensual vaginal intercourse. Forensic Sci Int. 2011; 204:27–33.

3. Jones JS, Rossman L, Hartman M, Alexander CC. Anogenital injuries in adolescents after consensual sexual intercourse. Acad Emerg Med. 2003; 10:1378–83.

4. Bowyer L, Dalton ME. Female victims of rape and their genital injuries. Br J Obstet Gynaecol. 1997; 104:617–20.

5. Zink T, Fargo JD, Baker RB, Buschur C, Fisher BS, Sommers MS. Comparison of methods for identifying anogenital injury after consensual intercourse. J Emerg Med. 2010; 39:113–8.

6. Slaughter L, Brown CR, Crowley S, Peck R. Patterns of genital injury in female sexual assault victims. Am J Obstet Gynecol. 1997; 176:609–16.

7. Biggs M, Stermac LE, Divinsky M. Genital injuries following sexual assault of women with and without prior sexual intercourse experience. CMAJ. 1998; 159:33–7.

8. Poulos CA, Sheridan DJ. Genital injuries in postmenopausal women after sexual assault. J Elder Abuse Negl. 2008; 20:323–35.

9. Hilden M, Schei B, Sidenius K. Genitoanal injury in adult female victims of sexual assault. Forensic Sci Int. 2005; 154:200–5.

10. Sommers MS. Defining patterns of genital injury from sexual assault: a review. Trauma Violence Abuse. 2007; 8:270–80.

11. Demir RH. Effect of improved vaginal manipulator on laparoscopic sacrocolpopexy. J Minim Invasive Gynecol. 2013; 20:S69.

12. Frioux SM, Blinman T, Christian CW. Vaginal lacerations from consensual intercourse in adolescents. Child Abuse Negl. 2011; 35:69–73.

13. Anderson S, McClain N, Riviello RJ. Genital findings of women after consensual and nonconsensual intercourse. J Forensic Nurs. 2006; 2:59–65.

14. Walker G. The (in)significance of genital injury in rape and sexual assault. J Forensic Leg Med. 2015; 34:173–8.