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 Vesico- Ureteral 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: 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