Trauma is the leading cause of death in children. Genitourinary tract injuries are rare, accounting for <3% of trauma cases. The majority of these injuries are due to blunt trauma such as motor vehicle collisions. In developed countries, iatrogenic injuries are especially prominent in the neonatal period whilst school‐age children are prone to sports‐related injuries, kicks and straddle injuries. Recent literature regarding pediatric genital trauma has focused on identifying and treating sexual abuse injuries as well as distinguishing these injuries from accidental trauma. This chapter reviews common etiologies for traumatic genital injuries and evaluate current diagnostic and treatment options. Risk factors, presenting signs and the evaluation of sexual abuse will also be reviewed.