ABSTRACT.Patients with vesical ureteral reflux (VUR) present with a wide range of severity. With an incidence of approximately 1%, Vesicoureteric reflux is a relatively common urological abnormality in children.Postnatal diagnosis of VUR is typically made following a diagnosis of a urinary tract infection (UTI) and less frequently following family screening. Voiding cystourethrograms remain the gold standard for diagnosing VUR. To preserve the kidney and prevent the need for potential renal replacement therapy, infants with a single kidney require significantly more assessment and prompt urine diversion decisions. Surgical correction is advised for patients with VUR grades IV and V, while VUR grades I, II, and III are managed conservatively.