[Nonparasitic chyluria treated by laser].
Nonparasitic chyluria is rare. Spontaneous remission occurs in 50% of patients. Conservative treatment includes diet with medium-chain triglycerides, lymphangiography, and the instillation of sclerosing solutions of silver nitrate. If conservative management fails, open or retroperitoneoscopic nephrolysis is the treatment of choice. We present a case of spontaneous recumbent nonparasitic chyluria from the left kidney treated twice by endoscopic application of neodymium-YAG laser. This is new to the literature. The chyluria disappeared for several months. The temporary cessation of chyle flow after local laser application should encourage further use of this treatment modality after failure of conservative treatment.
Klinik für Urologie, Kantonsspital, Rorschacher Strasse 95, St. Gallen, Switzerland.
C
C
Lenggenhager
T
T
Warzinek
R P
RP
Wüthrich
J
J
Müller
H-P
HP
Schmid
D S
DS
Engeler
D002913:Chyle; D004724:Endoscopy; D005119:Extravasation of Diagnostic and Therapeutic Materials / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D005402:Fistula / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007674:Kidney Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D007682:Kidney Pelvis / Q000000981:diagnostic imaging / Q000601:surgery*; D017075:Laser Coagulation; D008206:Lymphatic Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D008220:Lymphography; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery; D012008:Recurrence; D012086:Reoperation; D014057:Tomography, X-Ray Computed; D014548:Urinary Fistula / Q000000981:diagnostic imaging / Q000601:surgery*; D014556:Urine; D014567:Urography