Genitourinary (GU) injuries are uncommon, occur in 2–5% of trauma patients, and are commonly associated with straddle injuries (Lewis M. Genitourinary trauma. 2023. https://www.surgicalcore.org/modulecontent.aspx?id=1000738 . Accessed 27 Aug 2023). Bladder, urethral, and renal injuries usually occur due to blunt trauma, whereas ureteral injuries are more commonly due to penetrating trauma (Lewis M. Genitourinary trauma. 2023. https://www.surgicalcore.org/modulecontent.aspx?id=1000738 . Accessed 27 Aug 2023). With any trauma, it is important to remember one’s Advanced Trauma Life Support (ATLS) protocol, stick to the primary and secondary survey, and do a complete trauma workup.  • Do not forget the trauma adjuncts—X-rays and Focused Abdominal Sonography for Trauma (FAST)  • If the patient is conscious and stable, do not forget to take a good succinct history—one can use AMPLE (Allergies, Medications, PMH/Pregnancy, Last Meal, Events related to the injury)  • Remember to note a person would be assigned to place at least two large bore IVs while one is completing the trauma assessment