grading

Last edited 09/2023 and last reviewed 11/2023

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