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We utilized the National Trauma Data Bank® database to report practice patterns in managing blunt traumatic ureteral injuries and assess the consistency with current guidelines/literature. Between 2007 and 2016 all National Trauma Data Bank database patients with blunt traumatic ureteral injuries were identified using ICD-9 and Abbreviated Injury Scale codes. Penetrating trauma and missing data were excluded. Patients were unstable if Injury Severity Score was above 15 or systolic blood pressure was 90 mmHg or less. Abbreviated Injury Scale severity score 2