ALTHOUGH TRUE UROLOGIC emergencies are uncommon in pediatrics, abnormalities of genitalia or problems with voiding frequently bring anxious children and their parents to the emergency department (ED). Evaluation of the frightened child with genitourinary pain or trauma is difficult for even the most experienced physician. Recognition, stabilization, and management of pediatric genitourinary disturbances require sound medical knowledge as well as sensitivity for the child and family involved. Whether the problem involves simple reassurance for retractile testes, rapid recognition and intervention for testicular torsion, or delicate discussion and compassionate examination of the sexually abused child, the emergency physician or pediatrician must be prepared.