CONSIDER THE FOLLOWING OBSERVATION
Sterile reflux is unlikely to cause damage
- renal scar occur if urine of grossly refluxing ureter
Long term prophylactic antibiotic is safe
Associated bladder abnormality ?? VUR
Re-implantation --high success rate (98%)
- Colman et al 98% success rate if bladder + ureter are normal
- 54% “ “ “ ureter markedly dilated
- 40% “ “ “ bladder + ureter abnornal
Reflux that persist in adult ????