Severe trauma of the female urethra after pelvic fractures. Mechanisms andmanagement based on a case report and a review of the literature

The authors report the case of a woman presenting with urethro-vesical rupt ure and vaginal fistula followed pelvic trauma. This is a rare lesion, only 30 cases were reported in the literature [12]. The diagnosis may be initia lly missed, as it requires a meticulous emergency uro-gynaecological examin ation. Lesions involve the bladder and almost all of the urethra, injuring both the smooth and the striated sphincters. Treatment by reconstructive su rgery after good exposure of the fistula achieved a good anatomical result and a moderate functional result.