2. Congenital Anomalies:
• Congenital Anomalies of The kidneys.
• Congenital Anomalies of The Renal Pelvis and
Ureter.
• Congenital Anomalies of The Urinary Bladder
and Urethra.
40. Congenital Anomalies of The Renal Pelvis and
Ureter:
4. Congenital Vesicoureteric reflux.
Grade I represents reflux into the ureter.
Grade II represents reflux into a nondilated ureter and nondilated
pelvicaliceal system.
Grade III represents reflux into a mildly dilated ureter and pelvicaliceal
system. The forniceal angles and papillary impressions remain
distinct.
Grade IV represents reflux into a tortuous ureter and dilated
pelvicaliceal system. The forniceal angles become blunted while
the papillary impressions remain distinct.
Grade V represents reflux into a markedly dilated and tortuous ureter
and marked dilation of the pelvicaliceal system. Both the forniceal
angles and the papillary impressions are obliterated.