Chyluria: the state of the art
Urologia 2017; 84(2): 65 - 70
Article Type: REVIEW
AuthorsAndrea Guttilla, Paolo Beltrami, Laura Bettin, Andrea Galantini, Fabrizio Dal Moro, Vincenzo Ficarra, Filiberto Zattoni
Chyluria is the passage of chyle in the urine. The cause seems to be the rupture of retroperitoneal lymphatics into the pyelocaliceal system, giving urine a milky appearance. This communication is caused by the obstruction of lymphatic drainage proximal to intestinal lacteals, resulting in dilatation of distal lymphatics and the eventual rupture of lymphatic vessels into the urinary collecting system.
This condition, if left untreated, leads to significant morbidity because of hematochyluria, recurrent renal colic, nutritional problems due to protein losses and immunosuppression resulting from lymphocyturia.
In this review, we summarize the state of the art of this condition and the newest treatments available.
- • Accepted on 19/02/2017
- • Available online on 27/03/2017
- • Published in print on 28/04/2017
This article is available as full text PDF.
- Guttilla, Andrea [PubMed] [Google Scholar] 1, 2, * Corresponding Author (firstname.lastname@example.org)
- Beltrami, Paolo [PubMed] [Google Scholar] 2
- Bettin, Laura [PubMed] [Google Scholar] 2
- Galantini, Andrea [PubMed] [Google Scholar] 3
- Dal Moro, Fabrizio [PubMed] [Google Scholar] 2
- Ficarra, Vincenzo [PubMed] [Google Scholar] 4
- Zattoni, Filiberto [PubMed] [Google Scholar] 2
Urology Department, ULSS 6 “Euganea”, Camposampiero Hospital, Camposampiero, Padua - Italy
Urology Clinic, Department of Surgical Oncological and Gastroenterological Sciences, University of Padua, Padua - Italy
Urology Department, Brixen Hospital, Brixen - Italy
Urology Unit, Department of Experimental and Clinical Medical Sciences, University of Udine, Udine - Italy