Varicocele Grading On Color Doppler Ultrasound | Grade 1-5 Varicocele | Scrotum & Testis USG

*Cases
Grade 1 - 0:00
Grade 2 - 4:21
Grade 3 - 7:41
Grade 4 - 11:37
Grade 5 - 13:00

Grade 1:
No dilated veins present in scrotum
Reflux seen in dilated inguinal canal spermatic cord veins during Valsalva Maneuver

Grade 2:
Dilated Veins at the upper pole of the testis
Reflux during Valsalva maneuver
Increased diameter of veins

Grade 3:
Dilated veins at the inferior pole of testis while standing
No dilated veins in supine position at the inferior pole of testis
Reflux during Valsalva maneuver

Grade 4:
Dilated veins showing reflux even at rest and in supine position
Diameter more than 3 mm
Reflux is increased during Valsalva maneuver

Grade 5:
Large reflux is seen in dilated veins
Veins achieve maximum possible diameter even at rest
Diameter: 4-5mm or greater
The veins have maximum diameter which does not increase even with Valsalva maneuver.