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Treatment of Vesicoureteral reflux in children


Grade IReflux into a non-dilated ureter
Grade IIReflux into the upper collecting system without dilatation
Grade IIIReflux into dilater ureter and/or blunting of calyceal fornices
Grade IVReflux into a grossly dilated ureter
Grade VGross dilatation of the ureter, renal pelvis and calyces: Calyces
show loss of papillary impression



*TREATMENT RECOMENDATION FOR VUR diagnosed following a UTI :

GRADEAGE(YRS)SCARRINGINITIAL TREATMENTFOLLOW-UP
I-IIAny-Antibiotic prophylaxis-
III-IV0-5-Antibiotic prophylaxisSurgery
III-IV6-10-U/L: Antibiotic prophylaxisSurgery
III-IV6-10-B/L: Surgery
Vless than 1-Antibiotic prophylaxisSurgery
V1-5NoU/L: Antibiotic prophylaxisSurgery
V1-5NoB/L: Surgery
V1-5YesSurgery
V6-0-Surgery

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