Description

Traumatic injury to the ureter can be graded using the Ureter Injury Scale.


 

Type of Injury

Extent

Grade

hematoma or contusion

without devascularization

I

laceration

< 50% transection

II

 

>= 50% transection

III

 

complete transection with <= 2 cm devascularization

IV

 

avulsion with > 2 cm devascularization

V

 

If more than 1 injury is present, then advance grade by 1 up to Grade III.

 

where:

• I assume the advance in grade for multiple injuries applies for Grade II to III but not III to IV (see Testis Injury Scale).

 


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