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Grading

Authoring team

Grades are as follows:

  • Grade 1: Reflux only into the non-dilated ureter.
  • Grade 2: Reflux into the ureter and the renal pelvis without dilatation
  • Grade 3: Reflux with mildly dilated ureter and pyelocalyceal system
  • Grade 4: Reflux with the tortuous and moderately dilated ureter with blunting of renal fornices. The papillary impression is preserved
  • Grade 5: Reflux with the tortuous and severely dilated ureter, dilatation of pyelocalyces with loss of fornices, and papillary impression

Reference

  1. Mattoo TK, Mohammad D. Primary Vesicoureteral Reflux and Renal Scarring. Pediatr Clin North Am. 2022 Dec;69(6):1115-1129.

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