The treatment of choice for primary grade V VUR involving both kidneys in a 6 month old boy is:: (A) Antibiotic prophylaxis, (B) Ureteric implantation, (C) Cystoscopy followed by subureteric injection of Teflon, (D) Bilateral ureterostomies
Answer is A. Treatment of VUR: 1. Continuous antibiotic prophylaxis: Age < 1 year Grade 3-5 VUR with h/o febrile UTI Associated bowel bladder dysfunction 2. Surgery- break through UTI despite on continuous antibiotic prophylaxis