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Description:When fisting takes place the fingers should stay together and form a triangle shape with the hand rather than an actual closed fist. In order to diagnose the cause accurately, a sensitive approach in gaining the history is mandatory, which will otherwise omit valuable clues. Key messages Fisting carries a risk of colorectal perforation Recreational drugs can prolong the duration of sexual activity thereby increasing this risk Patients need more information regarding safe fisting and how to avoid transmission of infection with this practice The cases described have therefore prompted our unit to actively pass on more information to both our genitourinary medicine and HIV patients regarding the complications associated with this practice. People can get a bruised vagina from being too forceful during sex or masturbation, it can happen with sex toys, as well as occur after surgery and child birth.
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