Abstract : This was a descriptive study with a retrospective approach evaluating the medical record data of renal trauma patients for the past four years. A total of 84 renal trauma cases were obtained, consisting mostly of 5 to 20 years old (35.71%) male (86.9%) patients. The types were classified into blunt trauma (95.2%) mostly caused by motor vehicular accidents and penetrating trauma (4.8%). The severity was mostly dominated by grade I trauma (33.3%) followed by grade IV (23%) and III (19,2%). Anemia was the most prevalent complication (28.3%) and most patients had hematuria (82.1%). Most of the patients’ hemodynamic status was stable (86.9%) and were treated conservatively (88.4%). Only 9 patients were surgically treated with a total of 11 procedures. The most common procedure performed was nephrectomy (36.3%); followed by renorraphy (27.7%), DJ stent insertion (9%), blood clot evacuation (9%), embolization (9%), and urinoma drainage (9%). The highest mortality rate was seen among patients with grade IV renal trauma (50%). Renal trauma in East Java was mostly found in men and was caused by MVA. Most hemodynamically stable patients were mostly treated conservatively and did not require a blood transfusion. Other co-existing organ injuries affected the patients’ prognosis.