Traumatic labial bladder diverticulum and vesico-vulvar fistula
Sarah H Milton1, Mary Ellen T Dolat, Jordan B Southern
1From the Departments of *Obstetrics and Gynecology, and †Surgery, Division of Urology, and ‡School of Medicine, Virginia Commonwealth University, Richmond, VA.
Female Pelvic Medicine & Reconstructive Surgery
|December 19, 2014
Summary
Female urinary tract injuries after pelvic trauma are rare but can be misdiagnosed. A case study details the successful surgical repair of a traumatic vesico-vulvar fistula, highlighting the importance of considering genitourinary symptoms in trauma patients.
Area of Science:
- Urology
- Trauma Surgery
- Gynecology
Background:
- Pelvic trauma can lead to rare but serious female urinary tract injuries.
- Delayed sequelae and misdiagnosis are common challenges in identifying these injuries.
Observation:
- A patient with a history of pelvic trauma presented with a labial mass.
- The mass was identified as a large bladder diverticulum.
- A traumatic vesico-vulvar fistula was diagnosed.
Findings:
- The traumatic vesico-vulvar fistula was successfully repaired using a novel surgical technique.
- The repair involved cystoscopic fulguration and dissection of the supraurethral fistulous tract.
Implications:
- Clinicians should consider female bladder and urethral injuries in patients with pelvic trauma and genitourinary symptoms.
- Effective surgical repair of vesico-vulvar fistulas is achievable.
- Early diagnosis and appropriate management are crucial for favorable outcomes.
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