Touby Khan

Any further work up to rule out presence of other such polyps ?

The presence of contrast uptil the kidney indicates non-obstructing reflux on the right. Even though there isn’t much info on urinary stream but the presence of a smooth-outlined bladder and unilateral reflux rules out the possibility of posterior urethral valves. As the boy is only 2 months old with good functioning kidneys, a good approach would be to keep him on low-dose prophylactic antibiotics along with a close 3 monthly follow-up. A lot of VURs resolve with age. In case of breakthrough UTIs or detoriating renal function, a trial of deflux can be given followed by reimplantation if it fails.