Publication

[Nonparasitic chyluria treated by laser]

Journal Paper/Review - Dec 1, 2007

Units
PubMed
Doi

Citation
Lenggenhager C, Warzinek T, Wüthrich R, Müller J, Schmid H, Engeler D. [Nonparasitic chyluria treated by laser]. Der Urologe. Ausg. A 2007; 46:1715-7.
Type
Journal Paper/Review (English)
Journal
Der Urologe. Ausg. A 2007; 46
Publication Date
Dec 1, 2007
Issn Print
0340-2592
Pages
1715-7
Brief description/objective

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.