Indian Journal of Urology
REVIEW ARTICLE
Year
: 2004  |  Volume : 20  |  Issue : 2  |  Page : 79--85

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

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 «DQ»Pubmed«DQ» for published English literature using the key words «SQ»chy­luria«SQ», `milky urine«SQ» and «SQ»hematochyluria«SQ». 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.


How to cite this article:
Singh I, Dargan P, Sharma N. Chyluria - a clinical and diagnostic stepladder algorithm with review of literature.Indian J Urol 2004;20:79-85


How to cite this URL:
Singh I, Dargan P, Sharma N. Chyluria - a clinical and diagnostic stepladder algorithm with review of literature. Indian J Urol [serial online] 2004 [cited 2021 Aug 1 ];20:79-85
Available from: https://www.indianjurol.com/article.asp?issn=0970-1591;year=2004;volume=20;issue=2;spage=79;epage=85;aulast=Singh;type=0