The Efficacy And Safety Of Povidone Iodine In The Management Of Chyluria

摘要

Aim: To assess the efficacy and safety of povidone iodine in the management of chyluria. Materials & method: Twenty patients with chyluria who attended our department from January 2000 to December 2002 were studied. There were 14 males and 6 females, age ranging from 24 to 42. After confirming chyluria by relevant investigations and demonstrating chylous efflux at cystoscopy, all were treated with renal pelvic instillation of povidone iodine solution. Follow up was up to 3 years. Results: There was immediate disappearance of chyluria in all the 20 patients and 17 remained free of chyluria till their last follow up in June 2003.Three patients presented 1, 3, & 4 weeks later with recurrence. All 3 were retreated with povidone iodine. However, in 2 patients the chyluria persisted and these 2 patients were referred for laparoscopic management and lost for follow-up. Of the 20 patients, 2 patients had severe anaphylaxis which was appropriately treated. Conclusion: Povidone iodine is effective in curing chyluria. However, instillation of povidone iodine may be associated with serious anaphylactic reactions.