The treatment of choice for primary grade V VUR involving both kidneys in a 6 month old boy is:
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
Antibiotic prophylaxis
Ureteric implantation
Cystoscopy followed by subureteric injection of Teflon
Bilateral ureterostomies
Renal Tubular And Obstructive Disorders