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From the Department of Obstetrics and Gynecology, Northeast Medical Center, Kirksville (Mo) College of Osteopathic Medicine of A.T. Still University of Health Sciences (Sloin, Karimian, Ilbeigi); the Department of Anesthesiology, Saint Joseph's Regional Medical Center, Patterson, NJ (Karimian); and the Division of Urology, Department of Surgery, University of Medicine and Dentistry of New Jersey–New Jersey Medical School, Newark, NJ (Ilbeigi).

Address correspondence to Pedram Ilbeigi, DO, UMDNJ Medical School, Department of Surgery, Division of Urology, 185 South Orange Ave, G-536, University Heights, Newark, NJ 07103-2714. E-mail: ilbeigido{at}yahoo.com

Although obstetrically related trauma remains the most common cause of injury to the female genital tract, trauma of nonobstetric origin is not uncommon. Reports of traumatic injuries to the vagina, especially lacerations, have been infrequent in the literature and offer only a generalized approach to this problem. Severe vaginal lacerations may result in life-threatening blood loss. The authors report their recent experience with treating patients who have this type of trauma, review mechanisms of injury, and provide an organized treatment protocol for the nonobstetric patient with suspected vaginal laceration. Preparation for these emergencies circumvents dangerous delays and inadequate examination and treatment.