Goldman Classification of Urethral Injuries

 

Classification	Description	Notes
Type 1	Stretching injury to the prostatic urethra, but no disruption	Rupture of the puboprostatic ligaments
Type 2	Disruption of the prostatic urethra	Contrast extravasates above the UG Diaphragm
Type 3	Disruption of the membranous urethra	Contrast extravasates into and below the UG Diaphragm
Type 4	Disruption involving the bladder neck	Repaired surgically because internal sphincter maintains continence
Type 4a	Bladder base rupture not involving bladder neck	Can be managed conservatively
Type 5	Disruption of the anterior urethra

 

Reference:

Kawashima, A., et al. (2004). “Imaging of urethral disease: a pictorial review.” Radiographics 24 Suppl 1: S195-216.