title: Endoscopic management of persistent lymphocele following laparoscopic pelvic lymphadenectomy.
abstract: OBJECTIVE
  To report an alternative form of management of a persistent lymphocele that was unresponsive to percutaneous drainage and ethanol sclerotherapy.
  
  
  METHODS
  Herein is described the technique of dilating the previously established percutaneous drainage tract to facilitate insertion of a flexible ureteroscope. Through this instrument electrosurgical fulguration of the lymphocele cavity was performed.
  
  
  RESULTS
  The patient had complete resolution of the lymphocele cavity on computed tomography (CT) scan and remains asymptomatic at six months of follow-up.
  
  
  CONCLUSIONS
  Flexible ureteroscopic access and fulguration of a lymphocele proved to be a safe and effective method of obliterating the lymphocele cavity.
authors.affiliation: Department of Surgery, Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, Missouri.
authors.forename: E M
authors.initials: EM
authors.lastname: McDougall
authors.forename: R V
authors.initials: RV
authors.lastname: Clayman
mesh_terms: D004724:Endoscopy; D006801:Humans; D010535:Laparoscopy; D008197:Lymph Node Excision / Q000009:adverse effects / Q000379:methods; D008210:Lymphocele / Q000209:etiology / Q000628:therapy*; D008297:Male; D008875:Middle Aged