Urethral injury is a common injury to the urinary system, accounting for about 10% to 20% of urinary tract injuries. Due to the differences between male and female urethra anatomy, physiology and other aspects, urethral injuries are mostly seen in young and middle-aged men, with the most common closed urethral violence injuries, accounting for about 85% of other causes of urethral injuries, the most important of which is the ball urethral injury caused by perineal span injury and pelvic fracture complications of posterior urethral injury. The emergency management of urethral injury is very important, and there are many ways to deal with it. The correct selection and use of these methods according to the patient’s condition will be directly related to the incidence of complications such as urethral stricture, erectile dysfunction, and urinary incontinence. Male urethral injuries can be divided into anterior urethra (penile and bulbous urethra) injuries and posterior urethra (urethral membrane and prostate) injuries. Due to the different anatomical locations, the causes of injury, clinical manifestations, and treatment methods are different, making the management of urethral injuries extremely complex, and there are still many inconsistent opinions.