title: Traumatic labial bladder diverticulum and vesico-vulvar fistula.
abstract: BACKGROUND
  Injuries to the female urinary tract are rare after pelvic trauma. The sequelae of these injuries are often delayed, and misdiagnosis is common.
  
  
  METHODS
  A woman with a history of pelvic trauma presented with a labial mass that was found to be a large bladder diverticulum. In addition, she was ultimately diagnosed with a traumatic vesico-vulvar fistula that was successfully repaired using a novel surgical technique.
  
  
  CONCLUSIONS
  In patients with a history of pelvic trauma and genitourinary symptoms, it is important to consider injury to the female bladder and urethra. Further, successful repair of vesico-vulvar fistulas can be accomplished with cystoscopic fulguration and dissection of the supraurethral fistulous tract.
authors.affiliation: From the Departments of *Obstetrics and Gynecology, and †Surgery, Division of Urology, and ‡School of Medicine, Virginia Commonwealth University, Richmond, VA.
authors.forename: Sarah H
authors.initials: SH
authors.lastname: Milton
authors.forename: Mary Ellen T
authors.initials: ME
authors.lastname: Dolat
authors.forename: Jordan B
authors.initials: JB
authors.lastname: Southern
authors.forename: Vernon
authors.initials: V
authors.lastname: Orton
authors.forename: Adam P
authors.initials: AP
authors.lastname: Klausner
authors.forename: Edward J
authors.initials: EJ
authors.lastname: Gill
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D004240:Diverticulum / Q000209:etiology / Q000601:surgery*; D005260:Female; D005402:Fistula / Q000209:etiology / Q000601:surgery*; D006801:Humans; D001743:Urinary Bladder / Q000002:abnormalities* / Q000293:injuries* / Q000601:surgery; D001747:Urinary Bladder Fistula / Q000209:etiology / Q000601:surgery*; D014549:Urinary Incontinence / Q000209:etiology / Q000601:surgery; D014845:Vulvar Diseases / Q000209:etiology / Q000601:surgery*