{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:03:23Z","timestamp":1756425803971,"version":"3.44.0"},"reference-count":5,"publisher":"BMJ","issue":"10","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2023,10,11]]},"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:p>Literature on the management of pelvic fracture urethral injuries (PFUI) in women is scarce. We present a case of PFUI in a woman.<\/jats:p>\n               <jats:p>A woman in her 50s presented with lower abdominal pain, bleeding per vaginum and inability to void following road traffic accident. Local examination showed mid-urethral transection injury and tear over the left anterolateral aspect of the vagina. Foley\u2019s catheter bulb and bony fragments of the fractured pelvis were palpable anteriorly. Imaging revealed bilateral superior and inferior rami fractures with pubic bone diastasis. She underwent external fixation of pelvic bones with primary repair of urethral and vaginal mucosal injury.<\/jats:p>\n               <jats:p>Intraoperatively external pelvic fixator was applied, following which the bony fragments in the vagina were lifted up (due to the realignment of pelvic bones). Mid-urethral transection injury was repaired using end-to-end anastomotic urethroplasty. Per-urethral catheter and suprapubic catheter were placed. Periurethral tissue and vaginal layers were closed over the urethral repair. The postoperative course was uneventful.<\/jats:p>\n               <jats:p>External pelvic fixator was removed after 6 weeks of surgery. Micturating cystogram showed no evidence of contrast extravasation. Follow-up at 3 months showed no urinary symptoms with a bell-shaped uroflowmetry curve.<\/jats:p>","DOI":"10.1136\/bcr-2022-253852","type":"journal-article","created":{"date-parts":[[2023,10,31]],"date-time":"2023-10-31T14:35:17Z","timestamp":1698762917000},"page":"e253852","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Primary management of pelvic fracture urethral injury in a woman: challenges and outcome"],"prefix":"10.1136","volume":"16","author":[{"given":"Chiranjeet Singh","family":"Khurana","sequence":"first","affiliation":[{"name":"Urology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Swapnil Singh","family":"Kushwaha","sequence":"additional","affiliation":[{"name":"Urology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lalgudi Narayanan","family":"Dorairajan","sequence":"additional","affiliation":[{"name":"Urology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9423-4737","authenticated-orcid":false,"given":"Siddharth","family":"Kalra","sequence":"additional","affiliation":[{"name":"Urology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2023,10,31]]},"reference":[{"key":"2025082801163037000_16.10.e253852.1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e3181bb8d6c"},{"key":"2025082801163037000_16.10.e253852.2","doi-asserted-by":"crossref","first-page":"2140","DOI":"10.1016\/S0022-5347(06)00309-0","article-title":"Urethral and bladder neck injury associated with pelvic fracture in 25 female patients","volume":"175","author":"Black","year":"2006","journal-title":"Journal of Urology"},{"key":"2025082801163037000_16.10.e253852.3","doi-asserted-by":"crossref","first-page":"1660","DOI":"10.1016\/S0022-5347(05)66386-0","article-title":"Pelvic fracture urethral injuries in girls","volume":"165","author":"Podest\u00e1","year":"2001","journal-title":"Journal of Urology"},{"key":"2025082801163037000_16.10.e253852.4","doi-asserted-by":"crossref","first-page":"76","DOI":"10.4103\/iju.IJU_118_17","article-title":"Pediatric pelvic fracture urethral distraction defect causing complete urethrovaginal avulsion","volume":"34","author":"Singh","year":"2018","journal-title":"Indian J Urol"},{"key":"2025082801163037000_16.10.e253852.5","doi-asserted-by":"crossref","first-page":"766","DOI":"10.1111\/bju.13989","article-title":"Female urethral injuries associated with pelvic fracture: a systematic review of the literature","volume":"120","author":"Patel","year":"2017","journal-title":"BJU Int"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2022-253852","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T08:16:37Z","timestamp":1756368997000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2022-253852"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10]]},"references-count":5,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2023,10,31]]},"published-print":{"date-parts":[[2023,10]]}},"alternative-id":["10.1136\/bcr-2022-253852"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2022-253852","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2023,10]]}}}