A six months old girl is having recurrent UTI. Ultrasound abdomen shows bilateral hydronephrosis. MCU (Micturating cysto urethrogram) shows bilateral Grade IV vesicoureteral reflux. The treatment of choice is:
Ans:B.)Ureteric re-implantationAccepted indications for surgical treatment in a case of Vesicoureteral Reflux include the following:Breakthrough febrile UTIs despite adequate antibiotic prophylaxisSevere reflux (grade V or bilateral grade IV) that is unlikely to spontaneously resolve, especially if renal scarring is presentMild or moderate reflux in females that persists as the patient approaches pubey, despite several years of observationPoor compliance with medications or surveillance programsPoor renal growth or function or appearance of new scars
Endoscopic injection of poly teflon at the ureteric orifices
Ureteric re-implantation
Bilateral Ureterostomy
Prophylactic antibiotics