Indian Journal of Urology Users online:2695  
IJU
Home Current Issue Ahead of print Editorial Board Archives Symposia Guidelines Subscriptions Login 
Print this page  Email this page Small font sizeDefault font sizeIncrease font size
ORIGINAL ARTICLE
Year : 2005  |  Volume : 21  |  Issue : 1  |  Page : 55-58

Nonsurgical management of chyluria (sclerotherapy)


Department of Urology and Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India

Correspondence Address:
A Srivastava
Department of Urology, SGPGIMS,Lucknow UP
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-1591.19553

Rights and Permissions

Chyluria is a chronic debilitating condition characterized by formation of pyelo-lymphatic connections. Renal pelvic instillation sclerotherapy (RPIS) is a minimally invasive treatment modality in treatment of chyluria. It involves placement of ureteric catheter under cystoscopic guidance into the pelvis of the offending renal unit and the renal pelvic capacity is measured after contrast instillation in a radiologist suite. Sclerosants acts by inducing an inflammatory reaction in the lymphatic vessels and blockade of the communicating lymphatics by fibrosis. Silver nitrate and povidone iodine are the most commonly used sclerosants in RPIS. Various protocols have been described in literature but we follow 8 h instillations (nine doses) for 3 days. Silver nitrate (0.1-1%) is effective in 60-84% of cases and povidone iodine has shown similar efficacy as silver nitrate. Patients with early recurrence after RPIS do not fare better with second-course of RPIS in comparison to the patients with delayed recurrence. Overall sclerotherapy has shown effectiveness of ~85% in curing chyluria.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed7192    
    Printed166    
    Emailed0    
    PDF Downloaded504    
    Comments [Add]    

Recommend this journal

 

HEALTHWARE INDIA