[Polytrauma and urology: interdisciplinary management of severely injured patients]

Polytrauma occurs when a person simultaneously sustains multiple injuries across different body regions or organ systems, and at least one of these injuries, or their combination, is life-threatening. Such an injury pattern requires structured and phase-oriented care. Urological involvement in polytrauma care is initially rare, but in selected cases-particularly in renal, bladder, or urethral injuries-intervention may be necessary already in the resuscitation room. In the subsequent clinical course, urologists play a crucial role in surgical planning, considering damage control versus early total care. Furthermore, urological attendance may be required when follow-up operations become necessary, and throughout recovery and rehabilitation. Urologists should be familiar with the principles of major trauma management (airway, breathing, circulation, disability, and exposure [ABCDE], Advanced Trauma Life Support [ATLS®], and damage control strategies). Knowledge of these potential interfaces enhances interdisciplinary collaboration and ultimately contributes to improved patient outcomes.