Terrorist attacks have become a reality all over the world. Medical facilities and physicians alike should be prepared for terrorist-related mass casualty events with their distinctive features. Terrorist-related trauma patients tend to have severe multiorgan injuries, including some that are unique to explosions. There are no satisfactory data on urological injuries in terrorist attacks; nevertheless, it seems that these are generally combined, severe injuries that require a well-orchestrated team approach, with close cooperation between various clinical specialties and adaptation of damage control principles in urological trauma management. Undoubtedly, with the expanding role of the damage control approach, the comprehension of its principles should no longer be limited to general surgeons: urologists who are commonly involved as additional surgical specialists in severe multitrauma patients should be highly familiar with its principles.
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