| REVIEW ARTICLE |
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| Year : 2004 | Volume
: 20
| Issue : 2 | Page : 79-85 |
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Chyluria - a clinical and diagnostic stepladder algorithm with review of literature
Igbal Singh, P Dargan, N Sharma
Department of Surgery, University College of Medical Sciences (University of Delhi) and GTB Hospital, Delhi, India
Correspondence Address:
Igbal Singh
F-14 South Extension Part-2, New Delhi - 110 049
India
 Source of Support: None, Conflict of Interest: None  | Check |
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Objectives: Chyluria is an infrequently discussed urological problem and a rare urological manifestation of filariasis. Apart from few isolated case reports the literature regarding the etiology, diagnostic approach and management of chyluria is grossly inadequate. We undertook the present study to review chyluria in its entirety so as to have a broader insight in to its etiopathogenesis and to suggest the clinician with a proposed stepladder protocol approach (algorithm) towards its management.
Methods: We made a detailed systematic data search for the period covering the last 37 years on the "Pubmed" for published English literature using the key words 'chyluria', `milky urine' and 'hematochyluria'. The significant findings and recent advances on chyluria were reviewed.
Results: About 250 articles were found; these were analyzed, tabulated and reviewed for their clinical approach and management of chyluria.
Conclusions: Though generally a harmless condition in a majority, chyluria should not be ignored, instead all cases must be aggressively investigated to arrive at a cause. These should then be managed on the lines similar to as proposed in our 10-stepladder protocol. |
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