What is the treatment for primary grade 5   vericoureteric reflux  involving both kidney in a 8 months old boy is
In all children presenting at age < 1yr with VUR, are treated with continuous Antibiotic Prophylaxis.
Indication for surgery :
Ureteric reimplantation for bilateral grade IV and V VUR that Persist beyond infancy.
Antibiotic Prophylaxis
Ureteric implantation
Cystoscopy followed by subureteric injection of Teflon
Bilateral ureterostomies