title: Bladder Neck Rupture and Vesicovaginal Fistula Associated with Pelvic Fracture in Female.
abstract: METHODS
  Female urethral injury or bladder neck rupture associated with pelvic fracture is rare. The experience of this injury is limited and the management is still challenging. Here we describe a young female patient with urethral injury and vesicovaginal fistula associated with pelvic fracture due to traffic accident. We discuss the recommendation and management about this problem.
  
  
  RESULTS
  We selected staged surgical management for this case, and fortunately succeeded in the repair of the urethral and vaginal injury and acquired favorable continence.
  
  
  CONCLUSIONS
  Appropriate management should be selected according to the condition in each patient. But it should be taken into consideration that a patient with pelvic fracture is critically ill, and an experienced urologist of this field is not always available at that time.
authors.affiliation: Department of Urology, Sapporo Medical University School of Medicine, Sapporo, Japan.
authors.forename: Koji
authors.initials: K
authors.lastname: Ichihara
authors.affiliation: Department of Urology, Sapporo Medical University School of Medicine, Sapporo, Japan.
authors.forename: Naoya
authors.initials: N
authors.lastname: Masumori
authors.affiliation: Department of Urology, Sapporo Medical University School of Medicine, Sapporo, Japan.
authors.forename: Satoshi
authors.initials: S
authors.lastname: Takahashi
authors.affiliation: Department of Urology, Muroran General City Hospital, Muroran, Japan.
authors.forename: Noriomi
authors.initials: N
authors.lastname: Miyao
authors.affiliation: Department of Urology, Muroran General City Hospital, Muroran, Japan.
authors.forename: Ryuichi
authors.initials: R
authors.lastname: Kato
mesh_terms: D000063:Accidents, Traffic; D000293:Adolescent; D005260:Female; D050723:Fractures, Bone / Q000150:complications*; D006801:Humans; D010384:Pelvic Bones / Q000293:injuries*; D001743:Urinary Bladder / Q000293:injuries* / Q000601:surgery; D014719:Vesicovaginal Fistula / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery
keywords: pelvic fracture; urethra; vesicovaginal fistula; wound and injuries