[The role of urology in pelvic trauma : Diagnosis and management of associated genitourinary injuries].

Pelvic fractures may be accompanied by injuries of the lower urinary tract which, although uncommon, are associated with considerable morbidity and long-term functional impairment. Optimal management requires accurate diagnosis, appropriate treatment, and early integration of urological expertise into interdisciplinary trauma care. This review summarizes current evidence on the diagnosis and management of bladder and posterior urethral injuries associated with pelvic fractures, emphasizing the role of urology throughout clinical decision-making. Recommendations from the European Association of Urology (EAU), the American Urological Association (AUA), and the World Society of Emergency Surgery (WSES) are discussed in the context of key clinical studies. Beyond selecting appropriate diagnostic imaging and treatment strategies, the urological expertise plays an important role in interdisciplinary decision-making, particularly when urological management must be coordinated with pelvic ring stabilization, as well as in reconstructive management and structured long-term follow-up. Early urological involvement is therefore an integral component of interdisciplinary management aimed at minimizing complications and preserving long-term functional outcomes, including urinary continence, voiding and sexual function, and quality of life.