Vesicoureteric reflux - grade 4

Case contributed by Mohammadtaghi Niknejad

Presentation

Poor urinary stream and prolonged urinary bladder outlet obstruction.

Patient Data

Age: 85 years
Gender: Male
Fluoroscopy

With contrast media injection through a foley catheter, the urinary bladder with a slightly trabeculated margin is visualized, and there is evidence of passive grade 4 vesicoureteric reflux on the left side.

In addition, degenerative changes such as osteophytosis are seen in the lumbar spine.

Case Discussion

Unilateral passive grade 4 vesicoureteric reflux in a patient with poor urinary stream and chronic urinary bladder outlet obstruction.

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