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PAEDIATRIC UROLOGY

7.4 Treatment

The objective of treatment is the avoidance of late complications, such as reflux nephropathy. Therapeutic options consist of conservative medical treatment and endoscopic or open surgical procedures. The choice is influenced by the age of the patient, the grade of reflux, the position or configuration of the ureteral orifices and the clinical course.

Table 10: Treatment of reflux I

1 year

Conservative

1-5 year(s)

Grade I - III

Conservative

Grade IV - V

Surgery

> 5 years

Boys

Indication for surgery is rare

Girls

Surgery (due to higher rate of infections,

esp. during pregnancy)

Table 11: Treatment of reflux II

Recurrent febrile infections despite antibiotic prophylaxis

surgery

(not before the age of 6 months)

Additional malformation (double kidney, Hutch diverticulum, ectopic ureter)