# Traumatic Complete Isolated Transection of a Female Urethra: A Report of a Rare Case

## TL;DR

A rare case of a female urethra being completely cut without a pelvic fracture is reported and successfully treated with surgery.

## Contribution

This case report adds to the limited literature on managing isolated female urethral injuries without pelvic fractures.

## Key findings

- A 22-year-old woman sustained an isolated urethral injury from a fall and was successfully treated with surgical repair.
- End-to-end urethroplasty led to normal voiding at six-month follow-up.
- The injury occurred due to tissue compression between the pubic bone and a hard object during the fall.

## Abstract

Urethral transection without associated pelvic bone fracture is an uncommon entity in females. There are no standard guidelines available informing about the management of such injuries, due to the limited number of cases.

We present a case of a 22-year-old female who sustained an isolated urethral injury after falling from a height and was successfully managed with prompt surgical repair. Urethral transection occurred along with anterior vaginal wall laceration, due to compression of tissues between the pubic bone and the hard object on the ground on which the impact occurred upon falling from a height. End-to-end urethroplasty was performed, and the patient was voiding normally at six-month follow-up.