This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Pediatrics
A 4 month old female child presents with grade IV Vesicoureteral Reflux (VUR); without dilation of urinary bladder. The Treatment of choice is – 
Select and explain. 
A. Septran + Follow up, B. Re – implantation of ureter, C. Injection of collagen at ureteric orifices, D. Bilateral Ureterostomy
A: Septran + Follow up
Answer: A: Septran + Follow up 
Explanation: Treatment of grade IV VIJR

Age 0-5 years


Give antibiotic prophylaxis first
Follow up the patient, if recurrences occur, surgical management should be done.


Age 6-10 years


Unilateral      -3 Same as above
Bilateral     --> Surgery