7.4.5 Follow-up

After surgical reflux correction, patients require peri-operative antibiotic therapy, this being continued as prophylaxis for 6 weeks post-operatively. Optionally, a VCUG is carried out 3 months post-operatively in order to prove successful reflux correction. Obstruction of the upper urinary tract is ruled out by sonography on patients' discharge and this should be repeated after 4-6 weeks if any sign of obstruction is present. In all other cases, a routine ultrasound is carried out 3 months post-operatively.

All patients with parenchymal damage at the time of reflux correction should receive a control scintigraphy 12 months post-surgery. The follow-up examination should include blood pressure controls for early detection of renal hypertension.