Surgery – MCQ 54 – Primary grade IV-V vesicoureteric reflux in children

Which of the following statements is true of primary grade IV-V vesicoureteric reflux in young children?
a) Renal scarring usually begins in the midpolar regions
b) Postnatal scarring may occur even in the absence of urinary tract infections
c) Long term outcome is comparable in patients treated with either antibiotic prophylaxis or surgery
d) Oral amoxicillin is the antibiotic of choice for prophylaxis

Correct answer : b) Postnatal scarring may occur even in the absence of urinary tract infections

• Renal scarring usually begins in the polar regions
• Long term outcome is better with surgery
• Co-trimoxazole is the drug of choice for prophylaxis