Goldman classification of urethral injuries
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Goldman classification of urethral injuries is more widely accepted classification based on anatomical location of the urethral injury. It was initially proposed by Colapinto and McCallum but later modified to include type IV, IVa and V injuries.
Classification
- type I: stretching of posterior urethra due to disruption of puboprostatic ligaments, though the urethra is intact
- type II: posterior urethral injury above urogenital diaphragm
- type III: injury to membranous urethra, extending into proximal bulbous urethra (i.e. with laceration of urogenital diaphragm)
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type IV: bladder base injury involving bladder neck extending into the proximal urethra
- internal sphincter is injured, hence potential for incontinence
- type IVa: bladder base injury, not involving bladder neck (cannot be differentiated from type IV radiologically)
- type V: anterior urethral injury (isolated)
Note: another classification has been proposed by american association for the surgery of trauma (AAST), which is based on the treatment required and not the anatomical location of injury. However it is less used.
-<p><strong>Goldman classification of urethral injuries</strong> is more widely accepted classification based on anatomical location of the urethral injury. It was initially proposed by Colapinto and McCallum but later modified to include type IV, IVa and V injuries.</p><h5>Classification</h5><ul>- +<p><strong>Goldman classification of urethral injuries</strong> is more widely accepted classification based on anatomical location of the <a title="Urethral injuries" href="/articles/urethral-injuries">urethral injury</a>. It was initially proposed by Colapinto and McCallum but later modified to include type IV, IVa and V injuries.</p><h5>Classification</h5><ul>
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