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European Association of Urology (EAU) Classification of Urethral Injuries

Classification Description Manifestation
I Stretch Injury Urethrogram shows urethral elongation without contrast extravasation
II Contusion Blood at the urethral meatus, urethrogram shows no contrast extravasation
III Partial Urethral Rupture Contrast extravasation at the injury site, but contrast can enter the proximal urethra or bladder
IV Complete Urethral Rupture Contrast extravasation at the injury site, proximal urethra, anterior urethra, or bladder not visualized
V Complete or Partial Rupture of the Posterior Urethra with Bladder Neck, Rectal, or Vaginal Tear In female patients, contrast extravasation at the injury site, with or without vaginal bleeding; suprapubic cystogram shows contrast extravasation at the bladder neck, with or without contrast entering the rectum or vagina

References

Research Paper Goldman SM, et al. Blunt urethral trauma: a unified, Anatomical mechanical classification. J Urol. 1997;157(1):85-9.
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