Treatment of vesico-ureteric reflux [preliminary report]

ABSTRACT

The results of various modalities of treatment used in 22 children and 4 adults with obstructive and non obstructive Vesico-ureteric reflux, treated in Shaikh Zayed Hospital over a period of 3.5 years [between June, 1987 and December, 1990] are presented. The primary treatment of reflux grade-IV and V was surgical. Majority of children with reflux Grade I-Ill were treated conservatively with antibiotic prophylaxis. Re-implantation was carried out in 12 ureters, antibiotic prophylaxis treatment in 9 ureters and 22 ureters were treated by minor surgical procedures followed by conservative chemoprophylaxis. Conservative management of reflux Grade IV and V seems to be less successful than surgery. The results of conservative, non-surgical treatment of reflux Grade I to III are satisfactory, but for Grades IV and V reflux surgery seems to be the treatment of choice, if detrussor instability can be excluded