Chyluria-a review of literature and a modified sclerotherapy regimen

Özet

Chyluria, described as passage of milky white urine, has been recognized as a urological manifestationof the lymphatic system due to abnormal connection between the blocked and dilated lymphatics and therenal pelvicaliceal systems. We report the case of a 36-year-old female from an endemic area of filariasisin India who presented with chyluria. In addition to medical therapy, intermittent sclerotherapy of renalpelvis with 0.2% povidone iodine was carried out with a dose schedule different from the ones in practiceearlier. The idea of intermittent sclerotherapy was to create pyelolymphatic and pyelosinus reflux so as tosclerose the communicating channel between the lymphatic and urinary systems. This method proved tobe curative for the patient and she was relieved from her 8-year-old problem and subsequently remainedasymptomatic.