Treatment of choice for grade IV vesicoureteric reflux with recurrent UTI:: (A) Cotrimoxazole, (B) Bilateral reimplantation of ureter, (C) Injection of collagen in the ureter, (D) Endoscopic resection of ureter
Answer is A. Ans. (a) Cotrimoxazole* VUR is the MC inheritable disease of genitourinary tract* Autosomal dominant.* 75% cases are asymptomatic.* MCU is the IOC* DOC for VUR for prophylaxis - Table t- Septran (Clotrimoxazole) for age > 6 weeks.* For age < 6 weeks - Amoxycillin is given.* Surgical Management - Ureteric reimplantation or STING (Subureteric transurethral injection of Teflon paste)