For the 2019 Urological Trauma Guidelines a comprehensive restructuring and update of the entire Guidelines has been completed. New and relevant evidence has been identified, collated and appraised through a structured assessment of the literature. All summary of evidence tables and recommendations have be reviewed and adapted, as have all treatment algorithms. In light of this extensive update all users are highly recommended to read the 2019 Urological Guidelines in full to ensure they are correctly informed regarding the clinical content of the Guidelines.