Genitourinary trauma is infrequent with regard to sports-related injuries and is frequently overlooked in the acute setting because other life-threatening or serious injuries take precedence. Once the patient has been stabilized, the radiologist plays a key role in the diagnosis of genitourinary trauma. The most commonly injured genitourinary organ is the kidney followed by the bladder and the urethra. Therefore, one should be familiar with imaging signs of genitourinary trauma in the athletic patient in order for these patients to be triaged appropriately. This article is a review of the spectrum of genitourinary trauma caused by sports-related injuries.