A 4 month old female child presents with grade IV Vesicoureteral Reflux (VUR); without dilation of urinary bladder. The Treatment of choice is –
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
Septran + Follow up
Re – implantation of ureter
Injection of collagen at ureteric orifices
Bilateral Ureterostomy