Indian Journal of Urology Users online:185  
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
Year : 2005  |  Volume : 21  |  Issue : 1  |  Page : 63-65

Retroperitoneoscopic management of intractable chyluria

Department of Urology, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
N P Gupta
Department of Urology, All India Institute of Medical Sciences, New Delhi
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0970-1591.19555

Rights and Permissions

Purpose: We present our experience with retroperitoneoscopic lymphatic disconnection for the treatment of patients with intractable chyluria. Materials and Methods: From November 1996 to March 2003, 12 patients (three females and nine males), with intractable chyluria were treated at our department with the retroperitoneoscopic technique. Diagnosis was based on urine examination for the presence of chyle and fat globules, cystoscopy, excretory urogram and retrograde ureteropyelography. The technique of retroperitoneoscopic management of chyluria consisted of nephrolympholysis, ureterolympholysis, hilar vessel stripping, fasciectomy and nephropexy. The first three procedures were done in all cases, whereas fasciectomy was only done in four cases and nephropexy in three as required. Results: Chyluria disappeared in all ipsilateral renal units of the patients who underwent retroperitoneoscopic management but it recurred in two patients at 1 and 9 months of follow up from the contralateral side. Both the cases have since been successfully treated with contralateral retroperitoneoscopic management. Complications included lymphatic leak through the drain, which persisted for 5 days in one case and an inadvertent clipping of a branch of the posterior segmental artery of the kidney in one. The latter patient did not have pain or hypertension and the renal scan did not reveal any focal deficit at follow up. All patients were followed periodically from 6 to54 months (mean of 31 months). Conclusion: Retroperitoneoscopic chylolymphatic disconnection is a safe and effective management of intractable chyluria. The reroperitoneoscopic approach provides direct access to the kidney without transgressing the peritoneum.

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
    PDF Downloaded344    
    Comments [Add]    
    Cited by others 1    

Recommend this journal