Endoscopic treatment of refractory filarial chyluria: a preliminary report.
OBJECTIVE
We report our experiences treating 5 patients who had filarial chyluria using an endoscopic approach.


METHODS
Two men and 3 women 47 to 83 years old with chyluria were treated with endoscopic coagulation using guide tube methods. Intrarenal pelvic instillation of silver nitrate was not effective in 4 patients and catheterization was impossible in 1.


RESULTS
The responsible lesion was successfully coagulated in all 5 patients. Because the lesion was in the ruptured portion of the caliceal fornix, we thought that chyluria had arisen in the fragile portion of the fornix (fistulization). After endoscopic treatment there was no recurrence in any patient.


CONCLUSIONS
Endoscopy is effective and minimally invasive therapy for filarial chyluria.
Yagi
S
S
Department of Urology, Kagoshima University Hospital, Japan.
Goto
T
T
Kawamoto
K
K
Miyawaki
I
I
Tanaka
I
I
Mori
K
K
Hayami
H
H
Ohi
Y
Y
D000368:Aged; D000369:Aged, 80 and over; D002913:Chyle / Q000469:parasitology*; D004564:Electrocoagulation; D004724:Endoscopy; D005260:Female; D005368:Filariasis / Q000652:urine*; D006801:Humans; D007670:Kidney Calices / Q000601:surgery*; D008220:Lymphography; D008297:Male; D008875:Middle Aged; D015607:Stents; D014556:Urine