Frequent urinary tract infections.
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Voiding cystourethrogram demonstrates reflux into both kidneys, with dilatation of the ureters and renal collecting system. The calyxes are distended and blunted. The urethra appears normal.
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This case illustrates typical bilateral grade V vesicoureteric reflux without duplex anatomy or posterior urethral valves. This child requires ureteric re-implantation.