Vigorous sexual penetration with penovaginal disproportion may result in severe vaginal injuries that may require prompt surgical intervention. Sexual activity is a common cause of vaginal tears with variable degrees. Vaginal tears could be caused by penis, fall in a sharp object, finger or another object that a person inserts in the vagina causing damage to its delicate tissues, particularly in presence of other predisposing factors. We intend to describe and manage this unusual and interesting case of vaginal tears following consensual coitus. The undue force of the penis creates a tunnel between the anterior wall of the rectum and vagina leading to disruption of external anal sphincter with severe bleeding and fecal incontinence. Subvaginal tunnel was obliterated by interrupted stitches repair. External anal sphincter sutured by end to end anastomosis technique. No acute or short-term complications.
 

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