Unilateral vesicoureteric reflux

Case contributed by Dr Aditya Shetty

Presentation

History of urinary tract infections.

Patient Data

Age: 5 years
Gender: Female
X-ray

Spot film taken during VCUG shows unilateral grade 4 vesicoureteral reflux.

Case Discussion

Grades of VUR

  • grade 1 : reflux limited to ureter
  • grade 2 : reflux into renal pelvis
  • grade 3 : mild dilatation of ureter and pelvicalyceal system. 
  • grade 4 : 
    • tortuous ureter with moderate dilatation. 
    • blunting of fornicies but preserved papillary impressions. 
  • grade 5 : 
    • tortuous ureter with severe dilatation of ureter and pelvicalyceal system. 
    • loss of fornicies and papillary impressions

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