Document Detail

Endoscopic treatment of refractory filarial chyluria: a preliminary report.
MedLine Citation:
PMID:  9554365     Owner:  NLM     Status:  MEDLINE    
PURPOSE: We report our experiences treating 5 patients who had filarial chyluria using an endoscopic approach. MATERIALS AND 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.
S Yagi; T Goto; K Kawamoto; I Miyawaki; I Tanaka; K Mori; H Hayami; Y Ohi
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of urology     Volume:  159     ISSN:  0022-5347     ISO Abbreviation:  J. Urol.     Publication Date:  1998 May 
Date Detail:
Created Date:  1998-04-29     Completed Date:  1998-04-29     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0376374     Medline TA:  J Urol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1615-8     Citation Subset:  AIM; IM    
Department of Urology, Kagoshima University Hospital, Japan.
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MeSH Terms
Aged, 80 and over
Chyle / parasitology*
Filariasis / urine*
Kidney Calices / surgery*
Middle Aged

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