ABSTRACT
A prospective study was carried out on 65 patients with vesicoureteric reflux [VUR]. Twenty-four patients were in primary [group A] and 41 patients in secondary VUR [group B]. Male to female ratio in group A was 1.6:1 and in group B 4:1. Nine [37 percent] patients in group A and 17 [42 percent] in group B presented after 3 years of age. Main clinical presentations of group A were failure to thrive, anaemia, U.T.I and renal failure. Main clinical presentations of group B were urinary complaints, anaemia, failure to thrive, U.T.I and renal failure. Bilateral grade IV VUR was found in 11/24 [46 percent] in group A and 23/41 [55 percent] in group B. The causes of secondary VUR were PUV [32] prune belly syndrome [6] and meningomyelocele [3]. Early diagnosis and prompt management is required to prevent irreversible renal impairment