My daughter 3 month old is diagnosed with vur grade 4. I want to know what is the treatment. By medicine it will go away or need surgery. Doctor advised to give phexin drops everyday at night.
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Hello, vur grade 4 requires surgical correction & ureteric reimplantation if needed. Paediatric surgeon along, with pediatric nephrologist are best to take that decision. Since its an anatomical problem, medicines have no role. Antibiotic drops r given to her as a chemoprophylaxis to prevent recurrent, urinary tract infections, to which these children are prone to get.
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Hi vur may require regular routine and culture of urine in case of fever. And phexin prophylaxis may have to used for 6-12 months. However it is unlikely to subside my medical management. You may ask your urologist for botulin toxin or directly go for surgical approach. Post surgery if there is no fever / uti for a year unlikely that kidney may have any residual underperformance.
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