Several procedures in the interventional radiology for the urogenital system are reviewed herein. Interventional radiology has advanced rapidly in recent years as new technologies have become available. Arterial embolization of uterine fibroids is an example. Pelvic varices are frequently encountered in the general population and can be directly associated with a significant morbidity. The affected venous axes can be easily catheterized in a selective, retrograde manner and then can be occluded through this minimally invasive route, avoiding major surgical complications while giving comparable results. Interventional uroradiologic techniques have had a major impact on the care of the urologic patients by allowing non-operative treatment in many diseases. This article also reviews percutaneous nephrostomy with an emphasis on urologic calculi, interventional therapy for neoplasms and trauma to the urinary tract, treatment of renovascular hypertension, and the management of renal cysts.