How is tx of duplicity?

Recurrent urinary tract infections are managed by analyzing urine cultures and prescribing appropriate chronic long-term antibiotics based on sensitivity. Acute pyelonephritis requires a 10-14 day course of antibiotics. (cephalosporin) Anticholinergic drugs: Significantly reduces the number of "toilet visits." For overactive bladder or "bladder voiding dysfunction" [instinctively we might think that it opposes the reflux problem, however it worsens it in reality, so it must be treated as well] DMSA also assesses kidney function. If kidney function is progressively deteriorating =>Indication for surgery If no intervention possible proteinuria thus irreversible kidney failure