urinary tract injury associated with pelvic fractures introduction pelvic trauma associated with urinary tract injury is a severe trauma mostly caused by traffic accidents and falls from heights these injuries require urgent treatment and close teamwork between urologic and orthopaedic surgeonsmaterial and methods in this retrospective study there were analyzed patients with pelvic trauma and extraperitoneal injury of urinary tract treated surgically at clinic for ortopaedic surgery and traumatology and urology clinic in clinical center nis surgical intervention in these patients had been realized as the synchronized work of both orthopaedic and urologic surgeons the pelvis was treated by external and internal fixation mitkovic type external fixator was used for pelvic external fixation plating was used for pelvic internal fixation pelvic fractures were classified using tiles classification system the final functional results had been scored using majeed score systemresults there were 42 patients with the injury of pelvic ring treated at clinic for ortopaedic surgery and traumatology and at urology clinic clinical center nis in the period of 01012011 to 31122013 30 males and 12 females with average age of 5369 1984 years old in 80 of cases pelvic fractures were caused by high energy trauma in traffic accidents according to tiles classification 9 patients 2142 had pelvic fracture type a 23 patients 5446 had pelvic fracture type b and 10 patients 2380 had pelvic fracture type c urinary tract injury was diagnosed in 9 patients 2142 5 patients 119 with bladder injury 3 patients 714 with posterior urethra injury and 1 patient 238 with both bladder and posterior urethra injuryconclusion urgent repair of extraperitoneal urinary tract injury by urologic surgeons and synchronized pelvic reduction and fixation using external or internal fixation by ortopaedic surgeon in the same surgical procedure is the standard method for treatment of this severe injury