Traumatic injury to the urethra can be graded using the Urethra Injury Scale.
Type of Injury
Extent
Grade
hematoma or contusion
blood at urethral meatus with normal urethrography
I
stretch injury
elongation of urethra without extravasation on urethrography
II
disruption
partial, with urethrography showing both extravasation of contrast material and visualization of bladder
III
complete with < 2 cm urethral separation, without visualization of bladder on urethrography
IV
complete with >= 2 cm urethral separation
V
complete with extension into prostate or vagina
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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Specialty: Surgery, orthopedic, Emergency Medicine, Critical Care, Surgery, general, Urology
ICD-10: ,
