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Summary— The pathophysiology of injury to the female genitourinary tract secondary to a fractured pelvis has been studied in 5 patients. Delayed complications were frequent and their management is described.

It is concluded that a transpubic approach to the lower urinary tract facilitates the satisfactory reconstruction of the urinary tract. Long-term follow-up of 4 to 5 years is necessary for the satisfactory management of these patients following their initial injury.