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Chyluria: the state of the art

Abstract

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.

Urologia 2017; 84(2): 65 - 70

Article Type: REVIEW

DOI:10.5301/uj.5000225

Authors

Andrea Guttilla, Paolo Beltrami, Laura Bettin, Andrea Galantini, Fabrizio Dal Moro, Vincenzo Ficarra, Filiberto Zattoni

Article History

Disclosures

Financial support: The authors received no financial support for the research.
Conflict of interest: The authors declare that there are no conflicts of interest.

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Authors

Affiliations

  • 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

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