Vesicoureteral Reflux Grade (VCUG)

International Reflux Study grading of vesicoureteral reflux (VUR) on a voiding cystourethrogram (VCUG), by the extent of reflux and the degree of ureteral/pelvicalyceal dilatation, grades I/II/III/IV/V.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Vesicoureteral reflux grade
III - mild to moderate dilatation

Result: VUR grade III: mild to moderate dilatation of the ureter and pelvis, slight or no blunting of the fornices.

The tool opens with these values already filled in. Replace them with your own.

What the result means

Grade I
Reflux into the ureter only, not reaching the renal pelvis.
Grade II
Reflux up to the renal pelvis, no dilatation.
Grade III
Mild to moderate dilatation of the ureter and pelvis.
Grade IV
Moderate dilatation and tortuosity, fornices obliterated.
Grade V
Gross dilatation and tortuosity, intrarenal reflux.

What you enter

  • Vesicoureteral reflux grade
How this is calculated

International Reflux Study Committee. Medical versus surgical treatment of primary vesicoureteral reflux. Pediatrics. 1981;67(3):392-400. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.