Radiological findings of sexual intercourse related emergency department admissions: a first overview

Pfortmueller, Carmen A; Schankath, Adrian Clemens; Mordasini, Pasquale; Koetter, Jana; Wiest, Roland; Exadaktylos, Aristomenis; Puig, Stefan (2014). Radiological findings of sexual intercourse related emergency department admissions: a first overview. PLoS ONE, 9(8), e104170. Public Library of Science 10.1371/journal.pone.0104170

journal.pone.0104170.pdf - Published Version
Available under License Creative Commons: Attribution (CC-BY).

Download (4MB) | Preview


Sexuality is an essential aspect of human function, well-being and quality of life. Many people have sex without complications. However, there are some people who need to seek emergency medical help for related health problems. The aim of this study was to present a first overview of patients who received a radiological examination related to sexual intercourse based emergency department admission.


Our centralized electronic patient record database was reviewed for patients who had been admitted to our emergency department with an emergency after sexual intercourse between 2000 and 2011. The database was scanned for the standardized key words 'sexual intercourse' or 'coitus' retrospectively. For all patients identified in the electronic patient record database the radiological examinations were searched for manually in our Radiology Information System, and reviewed by three independent radiologists.


One hundred and twenty nine out of 445 (29,0%) patients received a radiological examination after immediate emergency department admission related to sexual intercourse. Fifty two out of 129 (40.3%) patients had positive radiological findings while 77 (59.7%) did not. Eighty point seven percent (n = 42) of the radiological findings were a sexual intercourse-associated pathology and 19.2% (n = 10) were considered to be incidental findings. Age and male sex positively correlated with radiological imaging workup (p<0.001, respectively p<0.037). The most common sexual intercourse-associated pathology was headache attributed to cerebrovascular insult (n = 21, 40.3%) followed by epididymitis (n = 7, 16.6%) and obstructive uropathy (n = 5, 11.6%). Of the patients with headache attributed to non-traumatic intracranial hemorrhage, subarachnoid hemorrhage (n = 14, 66.6%) was the most common, followed by intracerebral bleeding (n = 4, 19.0%) and one subdural hemorrhage.


Pathological findings are manifold. Cerebral imaging is the most common type of radiological imaging performed. Further prospective and standardized studies should be performed to better evaluate the significance of radiological imaging in this patient collective with the aim to gain better knowledge on what patients profit from what type of radiological imaging when presenting with a sexual intercourse related emergency.


The present study provides a first overview on radiological findings of sexual intercourse related emergency department admissions.

Item Type:

Journal Article (Original Article)


04 Faculty of Medicine > Department of Radiology, Neuroradiology and Nuclear Medicine (DRNN) > Institute of Diagnostic, Interventional and Paediatric Radiology
04 Faculty of Medicine > Department of Intensive Care, Emergency Medicine and Anaesthesiology (DINA) > University Emergency Center
04 Faculty of Medicine > Department of Radiology, Neuroradiology and Nuclear Medicine (DRNN) > Institute of Diagnostic and Interventional Neuroradiology

UniBE Contributor:

Schankath, Adrian Clemens, Mordasini, Pasquale Ranato, Wiest, Roland Gerhard Rudi, Exadaktylos, Aristomenis, Puig, Stefan


600 Technology > 610 Medicine & health




Public Library of Science




Martin Zbinden

Date Deposited:

23 Jan 2015 15:24

Last Modified:

02 Mar 2023 23:25

Publisher DOI:


PubMed ID:





Actions (login required)

Edit item Edit item
Provide Feedback