Urinary reflux stages
Urinary reflux is graded 1 to 5. Grade 1 is the mildest form and grade 5 is the most severe.
Normal urinary tract
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Grade 1 urinary reflux
Urine refluxes part-way up the ureter.
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Grade 2 urinary reflux
Urine refluxes all the way up the ureter.
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Grade 3 urinary reflux
Urine refluxes all the way up the ureter with some widening of the ureter and the part of the kidney where urine collects (calyces).
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Grade 4 urinary reflux
Urine refluxes all the way up the ureter with a marked widening of the ureter and the part of the kidney where urine collects.
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Grade 5 urinary reflux
Reflux of large amounts of urine up the ureter. Marked twisting and widening of the ureter and the part of the kidney where urine collects.
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Acknowledgements
Illustrations of normal kidneys, ureter and bladder and grades 1 to 5 reflux by Dr Greta File. Property of KidsHealth.