Purpose. Study of possibilities for intracorporeal manual suture of traumatic rupture of the bladder in the course of video laparoscopy. Material and methods. Over the last 10 years in the clinic of faculty surgery with the course of urology at the city clinical hospital № 2, Perm we observed 36 patients with intraperitoneal rupture of urinary bladder in age from 14 to 74 years. There were 22 men and 14 women. All the victims, the gap was full, penetrating into the abdominal cavity. The majority of patients injured from a blow to the abdomen, 4 patients due to road traffic accident received concomitant injuries with fracture of the pelvis. Isolated injury of the bladder was diagnosed in 24 injured, 12 were polytrauma: 4 — rupture of the small intestine, 2 — liver, 2 — spleen, 4 — with fracture of the pelvis. Performed diagnostic procedures: bladder catheterization disposable catheter, review the abdomen and pelvis, retrograde cystography 2—3 projections, ultrasound of the bladder and of the abdominal cavity in the apparatus of the company, «ALok» (Japan). Results. Laparotomy with suturing of the bladder with the traditional method [1-3] was performed on 30 patients. The average duration of open operations amounted to 83,0±5,1 minutes. Among 30 patients 3 died (10,0%): they were later admitted to hospital with already developed peritonitis and multiple organ failure, bypassing videolaparoscopy they immediately performed laparotomy. After open surgery marked a long period of rehabilitation, postoperative hospital stay amounted to an average of 19.8±2.5 days, patients started to work only after 36,2±4.2 days after trauma Conclusion. Laparoscopic suturing of rupture of the bladder is recommended in the first 12 hours after trauma, with isolated gap no longer than 8 cm, the absence of peritonitis or moderately severe local peritonitis. This modern mini-invasive surgery does not lengthen the operation time, has a good immediate and distant results and 1.9 times reduces the period of rehabilitation compared to open laparotomies suturing of the bladder.