A 4 month old female child presents with grade IV Vesico- Ureteral Reflux (VUR); without dilation of urinary bladder. The Treatment of choice is ?: (A) Septran + Follow up, (B) Re - implantation of ureter, (C) Injection of collagen at ureteric orifices, (D) Bilateral Ureterostomy
Answer is A. Ans. is 'a' i.e., Septran + follow up Treatment of grade IV VUR o Age 0-5 years Give antibiotic prophylaxis first Follow up the patient, if recurrences occur, surgical management should be done. o Age 6-10 years 1) Unilateral ---> Same as above 2) Bilateral ----> Surgery