Ureteral injury secondary to blunt trauma is rare. Bilateral ureteropelvic disruptions have only been reported eight times previously. A high index of suspicion must guide the appropriate evaluation, and the severity of the disruption will determine the management options. We present the case of a 63-year-old man who had fallen from his roof and subsequently partially disrupted both ureteropelvic junctions and was treated conservatively with indwelling ureteral stents. To our knowledge, this is the first documented case of conservative management of bilateral ureteropelvic junction disruption with indwelling ureteral stents.