title: Chyluria: is retrograde pyelogram mandatory prior to endoscopic sclerotherapy?
abstract: Chyluria is the passage of milky urine due to a lymphourinary fistula secondary to lymphatic stasis caused by obstruction of the lymphatic flow. This can be caused by parasitic or non-parasitic infections. Though chyluria is a commonly encountered entity in clinical practice particularly in developing countries like India, it is rarely discussed in English literature. We report a case of chyluria with right bifid ureter in a 50-year-old male patient who was treated with intrarenal pelvic instillation of 1% silver nitrate (AgNO3) and emphasis on the diagnostic implication of retrograde pyelography prior to endoscopic sclerotherapy in managing chyluria particularly in renal anomalies.
authors.affiliation: Department of Urology, King George Medical University Lucknow, Lucknow, Uttar Pradesh, India.
authors.forename: Sagorika
authors.initials: S
authors.lastname: Paul
authors.forename: Manoj
authors.initials: M
authors.lastname: Kumar
authors.forename: Viswajeet
authors.initials: V
authors.lastname: Singh
authors.forename: Satyanarayan
authors.initials: S
authors.lastname: Sankhwar
mesh_terms: D002913:Chyle; D005402:Fistula / Q000000981:diagnostic imaging* / Q000628:therapy* / Q000652:urine; D005500:Follow-Up Studies; D006801:Humans; D008206:Lymphatic Diseases / Q000000981:diagnostic imaging* / Q000628:therapy* / Q000652:urine; D008297:Male; D008875:Middle Aged; D015911:Sclerotherapy; D014513:Ureter / Q000002:abnormalities / Q000000981:diagnostic imaging; D014515:Ureteral Diseases / Q000000981:diagnostic imaging* / Q000628:therapy* / Q000652:urine; D014548:Urinary Fistula / Q000000981:diagnostic imaging* / Q000628:therapy* / Q000652:urine; D014567:Urography