Endoscopic management is the preferred treatment modality for a Grade III vesicoureteric reflux with breakthrough infections in a young girl

Endoscopic management is the preferred treatment modality for a Grade III vesicoureteric reflux with breakthrough infections in a young girl

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Endoscopic injection treatment for VUR appears to have less success rate than open surgical treatment, even in Gr 3 VUR.Economics of use of deflux injection and its Hunting Dogs success rate do not suit Indian milieu.To achieve high success rate of Atlanta group in endoscopic injection treatmnent , requires a longer learning Cropped t-shirt curve and yet it has not achieved success rate of 96-98% achieved by open surgical techniques.Recent addition of modified extravesical reimplantation technique has reduced significantly the post operative pain and patient can be discharged within 2 days from the hospital.