The primary goal of conservative therapy in children with vesicoureteral reflux is to _________

A. Increase bladder capacity: Bladder capacity is not the main issue in vesicoureteral reflux (VUR). The problem lies in urine flowing backward into the ureters and kidneys, which predisposes the child to infection and renal scarring. B. Prevent dehydration: Dehydration prevention is important in all children, but it is not the central focus of VUR management. The key concern is infection risk rather than fluid volume balance. C. Decrease recurrent urinary: This option is incomplete in phrasing but suggests reducing urinary symptoms. Conservative therapy specifically targets infection prevention, not just reducing urinary complaints. D. Decrease recurrent urinary tract infections: The primary goal of conservative therapy in VUR is preventing UTIs through prophylactic antibiotics, hydration, and good voiding habits. This reduces the risk of kidney damage and preserves renal function. E. Decrease urine production: Reducing urine output is not desirable because adequate urine flow helps flush bacteria. The goal is to maintain normal urination while preventing infections.