Microsurgical treatment of chyluria: a preliminary report.
We treated 80 patients with recurrent chyluria (68 men and 12 women) by a microsurgical technique since 1978. Transinguinal spermatic lymphangiovenous anastomosis was performed in 64 patients and inguinal lymph node-saphenous vein anastomosis was performed in 16. Followup was 6 months to 11 years in 50 of the former and 12 of the latter patients. Chyluria disappeared completely in 30 (60%) and 8 (66.7%) patients, respectively. In 6 of the former patients (12%) chyluria had disappeared immediately after the operation but it recurred within 1.5 to 3 years. The procedure has the advantage of a superficial operative field, and is simple and less traumatic.
Xu
Y M
YM
Department of Urology, 6th Municipal Hospital of Shanghai, Peoples Republic of China.
Ji
R J
RJ
Chen
Z D
ZD
Qiao
Y
Y
Jin
N T
NT
D000714:Anastomosis, Surgical; D002913:Chyle; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007264:Inguinal Canal; D008198:Lymph Nodes / Q000601:surgery*; D008297:Male; D008866:Microsurgery; D012501:Saphenous Vein / Q000601:surgery*; D013085:Spermatic Cord / Q000601:surgery*; D014556:Urine