Povidone iodine instillation into the renal pelvis in the management of chyluria: our experience.
| Autor: | Ramana Murthy KV; Department of Urology, Osmania General Hospital, Afzal gunj, Hyderabad, India. murthy.kusuma@rediffmail.com, Jayaram Reddy S, Prasad DV, Purusotham G |
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| Jazyk: | angličtina |
| Zdroj: | Urologia internationalis [Urol Int] 2010; Vol. 84 (3), pp. 305-8. Date of Electronic Publication: 2010 Apr 13. |
| DOI: | 10.1159/000288233 |
| Abstrakt: | Purpose: We report our experience with the use of povidone iodine instillation into the renal pelvis for the treatment of chyluria. Materials and Methods: From August 2006 to November 2008, 26 patients with chyluria were treated. There were 18 males and 8 females ranging from 24-55 years of age. Cystoscopic localization of chylous efflux was done. Povidone iodine as a sclerosing agent was instilled through a ureteric catheter placed in the renal pelvis. A total of 9 doses were given at 8-hour intervals for 3 days. Unilateral instillation was done in 20 cases, and bilateral instillation was done in 6 patients. Results: Twenty-one of 26 patients showed complete clearance. In 4 patients, recurrence was noted and a repeat injection was given after 4 weeks, with success, in 2 patients. The other two patients required chylolymphatic disconnection. One patient was lost to follow-up. Conclusion: Our experience shows that povidone iodine is a safe and effective sclerosing agent in the management of chyluria. (Copyright 2010 S. Karger AG, Basel.) |
| Databáze: | MEDLINE |
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