title: Routine radio-imaging in filarial chyluria--is it necessary in developing countries?
abstract: 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.
authors.affiliation: Department of Urology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.
authors.forename: D
authors.initials: D
authors.lastname: Dalela
authors.forename: A
authors.initials: A
authors.lastname: Kumar
authors.forename: R
authors.initials: R
authors.lastname: Ahlawat
authors.forename: T C
authors.initials: TC
authors.lastname: Goel
authors.forename: V K
authors.initials: VK
authors.lastname: Mishra
authors.forename: H
authors.initials: H
authors.lastname: Chandra
mesh_terms: 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
chemical_list: D012835:Silver Nitrate