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



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