Traumatic labial bladder diverticulum and vesico-vulvar fistula.

BACKGROUND: Injuries to the female urinary tract are rare after pelvic trauma. The sequelae of these injuries are often delayed, and misdiagnosis is common. CASE: 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.