Injuries to the bladder are infrequent and may result from blunt, penetrating or iatrogenic injury during surgery. Bladder injuries often present concomitantly with other abdominal and pelvic injuries and most commonly with pelvic fractures. Such injuries are subdivided according to the location of injury into extraperitoneal (EP), intraperitoneal (IP) or combined. Visible haematuria is the hallmark sign of bladder injury, particularly in the context of pelvic fractures. Diagnosis is confirmed with retrograde cystography, either with computed tomography (CT) or plain films. EP injuries are commonly managed conservatively with catheter drainage while IP injuries usually require surgical exploration. Penetrating injuries are also treated surgically. Iatrogenic bladder injury is either external (mainly during gynaecologic and urologic surgeries) or internal (mainly endoscopic transurethral procedures). Iatrogenic trauma is managed according to the same principles as non-iatrogenic injury. Bladder trauma may be associated with significant morbidity and mortality; however, early diagnosis and treatment can provide excellent outcomes.