I would have to defer to your surgeon. Need one that has lots of successful experience in that procedure. Techniques have changed through the years and I am unsure which is best approach. Antibiotic are important to stop bladder and potential renal infection. But increased pressure is part of the issue with reflux. Bladder has much thicker muscle wall to handle pressures that occur in bladder. Ureters and renal collecting systems have much thinner walls ad blow up like balloon. Increased pressure from incompetent valve at distal ureter can destroy renal cortex over time. When is the best time for surgery and what type of surgery to recommend are questions that the surgeon will be better prepared to answer.
I would have to defer to your surgeon. Need one that has lots of successful experience in that procedure. Techniques have changed through the years and I am unsure which is best approach. Antibiotic are important to stop bladder and potential renal infection. But increased pressure is part of the issue with reflux. Bladder has much thicker muscle wall to handle pressures that occur in bladder. Ureters and renal collecting systems have much thinner walls ad blow up like balloon. Increased pressure from incompetent valve at distal ureter can destroy renal cortex over time. When is the best time for surgery and what type of surgery to recommend are questions that the surgeon will be better prepared to answer.