Bladder injury-trauma grading

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

Grade I

• Hematoma (intramural) or contusion
• Laceration (partial thickness)

Grade II

• Laceration (extraperitoneal bladder wall <2 cm)

Grade III

• Laceration (extraperitoneal bladder wall >2 cm)
• Laceration (intraperitoneal bladder wall <2 cm)

Grade IV

• Laceration (intraperitoneal bladder wall >2 cm)

Grade V

• Laceration extending into bladder neck or ureteral orifice (trigone)

Note The grading is increased by 1 grade for multiple 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-bladder.html (Accessed 23 April 2008)

[Outline]

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