Introduction. The association of urinary tract injuries and pelvic fractures occurs in 4.4-17.26% of all associated lesions. Despite specialized medical care, some patients remain disabled. Material and methods. We performed a prospective study that included treatment outcomes in 62 trauma patients with pelvic fractures and urinary organs injuries. There were 57 males and 5 females. Mean patient age was 41,57 ± 2,18 years (p < 0,05). Cause of trauma: traffic accidents (79%), fall from height (16,2%) and massive collapse (4,8%). Pelvic fractures type A (AO/Tile classification) were in 6.77% (n = 4), type B - in 33 (55.93%), type C - in 25 (37.3%), all of them being hemodynamic unstable. Urinary organs were damaged in all 62 cases. Urinary bladder contusion was in 23 (37,1%) patients, bladder wall lesions - in 38 (61,3%), urethral ruptures - in 12 (19.4%), in 7 cases bladder rupture was associated with kidney injury. The initial management of the patients included antishock measures - bleeding stopping, perfusion and transfusion therapy, pelvic ring stabilization. Results. The main tactical aspects in trauma care were identified: patient stabilization, temporary pelvic fixation with external device, urinary bladder repair, packing of the lesser pelvis and drainage and control over pathological accumulation of urine in the pelvic cavity. Conclusions. The use of external fixation devices, for primary stabilization or for subsequent low-traumatic reposition of fragment displacements, allows to prevent possible complications associated with open osteosynthesis and provides early repair of urinary tract and quick patient mobilization.