title: [Uretero-vesival rupture with vaginal fistula following pelvic fracture. Value of early diagnosis and emergency surgery].
abstract: Traumatic fracture of the pelvis led to the rare combination of urethra and bladder rupture and fistulization into the vagina. This unusual lesion can go undiagnosed initially and must be properly identified during the emergency gynaecology and urology examination. Tissue damage involved nearly the entire length of the urethra including both the smooth and striated sphincters. Reconstructive surgery produced good anatomic and functional results.
authors.affiliation: Service d'Urologie et de Traumatologie, CHU Besançon.
authors.forename: H
authors.initials: H
authors.lastname: Bittard
authors.forename: S
authors.initials: S
authors.lastname: Bernardini
authors.forename: E
authors.initials: E
authors.lastname: Khenifar
authors.forename: T
authors.initials: T
authors.lastname: Lévy
authors.forename: M
authors.initials: M
authors.lastname: Pradines
authors.forename: P
authors.initials: P
authors.lastname: Vichard
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D004630:Emergencies; D005260:Female; D050723:Fractures, Bone / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D010384:Pelvic Bones / Q000000981:diagnostic imaging / Q000293:injuries*; D011859:Radiography; D012421:Rupture; D013536:Suture Techniques; D014513:Ureter / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D001743:Urinary Bladder / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D014719:Vesicovaginal Fistula / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery
vernacular_title: Rupture urétrovésicale avec fistule vaginale au cours d'une fracture du bassin. Intérêt du diagnostic précoce et du traitement chirurgical en urgence.