Instillation of Povidone-Iodine as A Management of Chyluria: A Case Report

  • Pande Made Wisnu Tirtayasa Department of Urology, Faculty of Medicine Universitas Udayana, Bali, Indonesia
  • Gede Wirya Kusuma Duarsa Surya Husadha Hospital, Denpasar, Bali, Indonesia


Chyluria, management, sclerotherapy, povidone-iodine


Background: Chyluria is usually associated with parasitic disease caused by Wuchereria bancrofti and is rare in non-endemic regions. The management of chyluria varies according to the severity of the condition. This report describes a case of mild chyluria and successful treatment using sclerotherapy.

Case description: A 44-year-old man presented with a first episode of painless milky urine. The diagnosis of chyluria was established following retrograde pyelography showing a fistula between the right pelviocalyces and the retroperitoneal lymphatic systems. The patient had not travelled to any endemic regions. Sclerotherapy using povidone-iodine was carried out resulting in closure of the fistula.

Conclusion: Sclerotherapy using povidone-iodine as the sclerosing agent was effective and safe for the management of a patient with mild chyluria. However, the best treatment for chyluria should be tailored to the patient’s condition.



  • Seleem MM, Eliwa AM, Elsayed ER, Desouky H, Galaly HE, Abdelwahab K, et al. Single versus multiple instillation of povidone iodine and urographin in the treatment of chyluria: a prospective randomized study. Arab J Urol 2016 Jun;14(2):131–135. doi: 10.1016/j.aju.2016.01.006.
  • Sinha RK, Ranjan N, Singh N, Amit K. Chyluria: a scourge of our region. BMJ Case Rep 2015 Jul 6;2015:bcr2014209188. doi: 10.1136/bcr-2014-209188.
  • Singh I, Dargan P, Sharma N. Chyluria-a clinical and diagnostic stepladder algorithm with review of literature. Indian J Urol 2004 Mar;20(2):79–85.
  • Guttila A, Beltrami P, Bettin L, Galantini A, Moro FD, Ficarra V, et al. Non-parasitic chyluria: our experience with sclerotherapy with solution of povidone-iodine and destrose and a review of the literature. Urol Case Rep 2016 Jun;8(C):28–30. doi: 10.1016/j.eucr.2016.05.010.
  • Suri A, Kumar A. Chyluria-SGPGI experience. Indian J Urol 2005 Jan;21(1):59–62. doi: 10.4103/0970-1591.19554.
  • Sabnis RB, Punekar SV, Desai RM, Bradoo AM, Bapat SD. Instillation of silver nitrate in the treatment of chyluria. Br J Urol 1992 Dec;70(6):660–662. doi: 10.1111/j.1464-410x.1992.tb15839.x.
  • Published: 2022-04-26

    Issue: 2022: Vol 9 No 4 (view)

    Section: Articles

    How to cite:
    Tirtayasa PMW, Duarsa GWK. Instillation of Povidone-Iodine as A Management of Chyluria: A Case Report. EJCRIM 2022;9 doi:10.12890/2022_003336.