Traumatic injuries to the lower genitourinary tract (ureter, bladder, and urethra) are relatively uncommon with an incidence of about 10%. Often these injuries are associated with other traumatic injuries to the abdomen and pelvis. Treatment is based on anatomical location, timing of diagnosis, and severity of the injury. Treatment options may include stent placement (ureter), advanced realignment (urethra), primary repair (bladder), reimplantation (ureter), or drainage with delayed repair (ureter, urethra). Prognosis is generally good following timely treatment of traumatic lower genitourinary tract injuries, but urinary dysfunction and stricture formation can result in chronic morbidity.