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. Author manuscript; available in PMC: 2008 Mar 15.
Published in final edited form as: Int J Radiat Oncol Biol Phys. 2007 Jan 22;67(4):1059–1065. doi: 10.1016/j.ijrobp.2006.10.042

Table 1.

The grading system used for late genitourinary radiation side effects.

Grade 1 Grade 2 Grade 3 Grade 4 Grade 5
Nocturia twice
baseline.
Microscopic
hematuria. Light
mucosal atrophy
and minor
telangiectasia.
Moderate frequency. Nocturia more
than twice baseline. Generalized
telangiectasia. Intermittent
macroscopic hematuria. Two or
fewer blood transfusions. Two or
fewer coagulations. Regular non-
narcotic or occasional narcotic for
pain.
Severe frequency and dysuria.
Nocturia more frequent than once
every hour. Reduction in bladder
capacity (150 cc). Frequent
hematuria. More than two
transfusions. More than one
coagulation for hematuria. Regular
narcotic for pain.
Severe
hemorrhagic
cystitis.
Ulceration.
Requirement for
urinary diversion
and/or
cystectomy.
Fatal toxicity