Routine radio-imaging in filarial chyluria--is it necessary in developing countries?
Chyluria is a common presentation of filariasis in developing countries and mostly affects economically poor classes. The judicious use of investigations is mandatory to keep the cost of treatment acceptable. A modified plan is suggested for managing such patients without using retrograde pyelography or lymphangiography. A total of 54 patients were studied at 2 separate institutions, with retrograde pyelography being carried out at one institution but not at the other. All patients were treated primarily by the instillation of 1% silver nitrate, with an initial success rate of 70%. Eight patients who failed to respond underwent pyelolymphatic disconnection, the success rate being 88%. The omission of retrograde pyelography and lymphangiography had no effect on either treatment or outcome. The value of these radio-imaging techniques is discussed.
Dalela
D
D
Department of Urology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.
Kumar
A
A
Ahlawat
R
R
Goel
T C
TC
Mishra
V K
VK
Chandra
H
H
D000328:Adult; D002913:Chyle / Q000469:parasitology*; D003906:Developing Countries; D005260:Female; D005368:Filariasis / Q000000981:diagnostic imaging* / Q000188:drug therapy; D006801:Humans; D007668:Kidney / Q000000981:diagnostic imaging*; D008220:Lymphography / Q000379:methods; D008297:Male; D012835:Silver Nitrate / Q000627:therapeutic use; D014556:Urine
D012835:Silver Nitrate