Abstract
In Brief Background Genital self-mutilation is a relatively rare phenomenon and may be associated with generalized self-mutilation, personality disorders, dissociative disorder, or psychosis. Case History A 22-year-old female presented with a vesicovaginal fistula and extraperitoneal bladder injury after a self-inflicted knife wound. This was thought to have occurred secondary to acute psychosis at the time of alcohol intoxication. Conclusion Physicians caring for female patients need to be aware of the psychopathology of genital self-mutilation and the potential for associated urologic injury. A report of an unusual case of a 22-year-old woman with an self-inflicted complex penetrating to the vagina.
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