“…Previous studies of the treatment of vesicoureteric reflux have shown that renal function can be maintained by both medical and surgical means (Birmingham Reflux Study Group, 1983, 1987Atwell, 1984, Scott el al., 1986. Renal growth has been shown to increase following surgery for vesicoureteric reflux (McRae et al, 1974;Atwell et al, 1978;Atwell and Cox, 1981;Ginalski et al, 1986), but no significant difference in renal growth has been observed following either medical or surgical treatment when compared in a controlled trial (Birmingham Reflux Study Group, 1983,1987. It is interesting to note, however, that in this trial there was a trend for the renal standard deviation scores to fall further during medical treatment than following surgical treatment.…”