Bladder rupture is a urological emergency, mostly caused by external shock to the bladder in its full state, or by stab wounds. It requires prompt treatment. Treatment of bladder rupture depends on the size and location of the rupture and the presence or absence of significant urinary extravasation. If the bladder rupture is extraperitoneal, it is a small rupture and there is no significant urinary extravasation, only a catheter should be left in place for 7-10 days for the wound to heal, and then the catheter should be removed. If the rupture is large or intraperitoneal bladder rupture, timely surgery is needed to remove the blood clot, drain the urine seeping into the abdominal cavity, and repair the bladder. A urinary catheter and cystostomy tube should be left in place during surgery to ensure urine drainage to facilitate wound repair and should be removed 7-10 days after surgery. If the patient is in shock or has life-threatening injuries to other organs, a catheter needs to be left in place to reduce urinary extravasation. Anti-shock treatment or treatment of major organ damage first, followed by treatment of bladder rupture. In summary, most cases of bladder rupture require prompt surgical treatment to repair the bladder and restore bladder integrity and function.