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Surgery Kidney & Ureturs 326c295b

Treatment of choice for grade IV vesicoureteric reflux with recurrent UTI:

A
Cotrimoxazole
B
Bilateral reimplantation of ureter
C
Injection of collagen in the ureter
D
Endoscopic resection of ureter
High-Yield Explanation
Ans. (a) Cotrimoxazole* VUR is the MC inheritable disease of genitourinary tract* Autosomal dominant.* 75% cases are asymptomatic.* MCU is the IOC* DOC for VUR for prophylaxis - Table t- Septran (Clotrimoxazole) for age > 6 weeks.* For age < 6 weeks - Amoxycillin is given.* Surgical Management - Ureteric reimplantation or STING (Subureteric transurethral injection of Teflon paste)

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