Quote from "ESPES Manual of Pediatric Minimally Invasive Surgery" by Ciro Esposito, François Becmeur, Henri Steyaert, Philipp Szavay -
"According to recommendations from the European Association of Urology and the American Urological Association, we decided to operate on children with VUR grade III or more, with renal dysfunction (DMSA < 40%) or renal scarring demonstrated on isotope renography, and children developing recurrent pyelonephritis despite optimal medical treatment."
"According to recommendations from the European Association of Urology and the American Urological Association, we decided to operate on children with VUR grade III or more, with renal dysfunction (DMSA < 40%) or renal scarring demonstrated on isotope renography, and children developing recurrent pyelonephritis despite optimal medical treatment."