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Routine Radio‐imaging in Filarial Chyluria–Is it Necessary in Developing Countries?
Author(s) -
DALELA D.,
KUMAR A.,
AHLAWAT R.,
GOEL T. C.,
MISHRA V. K.,
CHANDRA H.
Publication year - 1992
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1992.tb15531.x
Subject(s) - chyluria , filariasis , medicine , computer science , medical physics , radiology , pathology , helminths , lymphatic system , immunology
Summary Chyluria is a common presentation of filariasis in developing countries and mostly affects economically poor classes. The judicious use of investigations is mandatory to keep the cost of treatment acceptable. A modified plan is suggested for managing such patients without using retrograde pyelography or lymphangiography. A total of 54 patients were studied at 2 separate institutions, with retrograde pyelography being carried out at one institution but not at the other. All patients were treated primarily by the instillation of 1% silver nitrate, with an initial success rate of 70%. Eight patients who failed to respond underwent pyelolymphatic disconnection, the success rate being 88%. The omission of retrograde pyelography and lymphangiography had no effect on either treatment or outcome. The value of these radio‐imaging techniques is discussed.