UW Emergency Radiology
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.