| Autor: |
Dhabalia, J. V., Pujari, N. R., Kumar, V., Punia, M. S., Gokhale, A. D., Nelivigi, G. |
| Předmět: |
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| Zdroj: |
Urologia Internationalis; Jul2010, Vol. 85 Issue 1, p56-59, 4p, 1 Color Photograph, 1 Black and White Photograph |
| Abstrakt: |
Objective: To compare the efficacy of the 3-instillation regime with the 9-instillation regime of 1% silver nitrate solution for renal pelvic instillation sclerotherapy in patients with chyluria. Patients and Methods: 59 patients with chyluria were prospectively evaluated and randomized into two groups. The study group received 3 instillations (n = 29) while the control group received 9 instillations (n = 30). 1% silver nitrate was used. Results: In the study group of the 29 patients given sclerotherapy, 28 (96.5%) had complete symptomatic relief while symptoms persisted in 1 (3.44%). None of the patients had hematuria or any other severe complication. In the control group of the 30 patients given sclerotherapy, 29 (96.66%) had complete symptomatic relief while chyluria persisted in 1 (3.33%), 5 patients developed hematuria (16.66%) and 1 patient developed fever with UTI (3.33%). The results of the 3-instillation regime match the results of the more commonly used 9-instillation regime. With this shorter regime, the hospital stay, morbidity and overall complication rate is less and it is more cost effective. Conclusion: We recommend the 3-instillation regimen in patients with chyluria refractory to conservative treatment. Copyright © 2010 S. Karger AG, Basel [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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