Combinations of pelvic and abdominal injuries occur in 26-50% of prisoners with MT. To 55% of pelvic injuries are accompanied by abdominal trauma. Retrospective and prospective analysis of 68 patients was carried out for the period from 2001 to 2012. Combination of abdominal trauma with bladder injury was observed in 68 patients, of them in 49 (72.1%) with pelvis bones fractures, 11 with injuries of thoracic organs, 9 with cranial injuries, 8 with injuries of extremities, 7 with spinal column injuries. Results: 47 (69.1%) patients with combined intraperitoneal traumas underwent median laparotomy for peritonitis with suturing of bladder wall rupture. In 21 (30.9%) patients intraperitoneal bladder injuries were opened by median suprapubicectoperitoneal approach. Lethality in abdominal multitraumas with bladder injuries made 16.2% (11 patients). In 9 patients lethal outcome was caused by multiple and combined trauma of the skull, chest, etremities and abdomen (liver, spleen, intestine) and urinary peritonitis in 2 patients. In early and timely diagnostics and rational operative intervention both in intra and ectoperitoneal bladder injuries adequate drainage of paravesicular cellular tissue and small pelvis contribute to decrease of various complications and lethality