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
DOI: https://doi.org/10.12890/2022_003336

Keywords

Chyluria, management, sclerotherapy, povidone-iodine

Abstract

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.

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    • Published: 2022-04-26

    Issue: 2022: Vol 9 No 4 (view)

    Section: Articles

    How to cite:
    1.
    Tirtayasa PMW, Duarsa GWK. Instillation of Povidone-Iodine as A Management of Chyluria: A Case Report. EJCRIM 2022;9 doi:10.12890/2022_003336.