My confusion and a HUGE prayer request!

My amazing friend, Amanda, brought caths to India for us.  She gave them to a friend who brought them to Ramya's orphanage for us.  We had called ahead to make sure it was ok to send them, and they said it was fine.  The caths got there and.....

They said Ramya is to little to get cathed and refused them!

Huh?!?!?!? 

When we first started the process, we were told she was getting frequent UTIs from cathing and that it was effecting her kidneys.  It's one of the reasons they put her on the "I really need to get adopted now" list that they send out.  When we had read the initial information about her, it said she was cathed every 2 hours around the clock.  On the recent paperwork, though, there was no mention about cathing at all.  I thought it was strange but didn't give it a second thought.  Even on her wacap photo and information page, the photo and information is different.  It's still her, it's just updated (although her name on there is different as well, but I think they change names to protect their identity). 

So, for now, I am very stumped.  I really do not get it.  I suppose it truly is just a game of "wait and see"!  If her UTIs have stopped, that would be AMAZING news, so I really pray that she is getting better there.

Now on to the huge prayer request.  Ramya is having surgery in just a few days.  She has renal reflux, like Madi does, except hers is on the right side and Madi is on the left.  She will have surgery to fix it, and then they said she will be cathed, and will have to be cathed forever.  I'm not really sure what surgery they are doing, because with "traditional" surgery to fix reflux, that does not mean you have to cath for the rest of your life.  With a different surgery where they attach the bladder to another organ to help it grow (we haven't crossed that bridge yet, so please excuse my really terrible, and possibly not-quite-accurate description), then you do have to be cathed for the rest of your life if you get it.  I'm not really sure what surgery she is getting.

I cannot imagine being in pain and being in a strange place all alone.  That has to be terrifying for her.  I am so sad they are doing the surgery, and that I cannot be there with her.  Please pray for peace and protection for her.  Pray that she will be calm and not scared.  Pray that she will heal quickly and that she will be given adequate medicine to handle the pain.  Pray that there will be no complications and that the surgery will be successful.  Pray that she will feel God's love and protection around her at all times. 

Thank you for praying for our little girl!