Sclerotherapy for Chyluria Using Single Dose 0.2%Povidone- Iodine: A Prospective Study

Aim:-To assess the efficacy of single dose 0.2% povidone -iodine instillation in the management of chyluria. Materials & method: Forty-five patients who presented with chyluria to surgical out-patient department at Dr RML Combined hospital, Lucknow from JUNE 2014 to FEBRUARY 2015. There were 27 males and 18 females, between age groups 25 to 48 years. After taking informed consent for the study and detailed clinical history and by appropriate investigations and demonstrating chylous efflux at cystoscopy, all were planned for a day care procedure under local anaesthesia using 5Fr open-ended ureteric catheter, which was introduced in the ureteric orifice of affected side. Freshly prepared 10 ml of 0.2% povidone iodine solution was instilled within the renal pelvis while patient being in Trendelenburg position. Mean follow-up was for 12 months. Results: There was remarkable disappearance of chyluria in all the 45 patients and 39 (86.6%) remained free of chyluria till their last follow up in FEBRUARY 2016. Two(4.4%) patients presented 4 and 6 weeks later with recurrence and were referred for other treatment modality on patient’s request and Four (11.1%) patients lost for follow-up after 3months. Conclusion:With the results of the above study, Single dose instillation of 0.2% Povidone iodine sclerotherapy is remarkably safe, inexpensive, effective, minimally invasive and can be done day care basis .However, further comparative studies are needed to establish its efficacy better.