The Management of Vesicoureteric Reflux in Children

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Abstract
Summary— One hundred and seventy children with vesicoureteric reflux have been reviewed. Conservative therapy was the treatment of choice in Grade I reflux. Children with Grade II and Grade III reflux treated conservatively developed progressive upper tract dilatation and scarring. Unilateral reflux sometimes became bilateral. In addition, the grade of reflux could worsen in the absence of symptoms or overt infection.Cystourethroscopy was an important investigation as an aid to management: the finding of abnormal ureteric orifices in the presence of Grade II and Grade III reflux indicated early surgical treatment. Surgery was also indicated in the presence of ureteric dilatation on excretion urography and/or micturating cystourography. Vesicoureteric reimplantation gave excellent results, with few complications.

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