Urethra injury-trauma grading

Urethral injuries are graded I-V with increasing severity having higher grading.

Grade I

• Contusion (blood at urethral meatus; urethrography normal)

Grade II

• Stretch injury (elongation of urethra without extravasation on urethrography)

Grade III

• Partial disruption (extravasation of urethrography contrast at injury site with contrast visualisation in the bladder)

Grade IV

• Complete disruption (extravasation of urethrography contrast at injury site without visualization in the bladder; <2cm of urethral separation)

Grade V

• Complete disruption (complete transaction with >2 cm urethral separation, or extension into the prostate or vagina)

Note to advance one grade for bilateral injuries up to grade III.

References

Moore EE, et al. Organ injury scaling III: chest wall, abdominal vascular, ureter, bladder and urethra. J trauma. 1992;33:337-8. Trauma scoring. Trauma.org. Available at http://www.trauma.org/archive/scores/ois-urethra.html (Accessed 24 April 2008)

[Outline]

• Information
• Grade I
• Grade II
• Grade III
• Grade IV
• Grade V
• References