Two cases of pelvic lymphocele after prostatectomy and dissection of obturator lymph nodes successfully treated by interventional radiology

Bibliographic Details
Title: Two cases of pelvic lymphocele after prostatectomy and dissection of obturator lymph nodes successfully treated by interventional radiology
Authors: Yuki Oda, Nobuo Ohyama, Masahiro Hashimura, Shinsaku Maeda, Shunta Hori, Kiyohide Fujimoto
Source: IJU Case Reports, Vol 4, Iss 5, Pp 322-325 (2021)
Publisher Information: Wiley, 2021.
Publication Year: 2021
Collection: LCC:Diseases of the genitourinary system. Urology
Subject Terms: lymphangiography, N‐butyl‐cyanoacrylate, Refractory lymphocele, Diseases of the genitourinary system. Urology, RC870-923
More Details: Introduction Postoperative refractory lymphocele is often difficult to treat. Recently, interventional radiology with N‐butyl‐cyanoacrylate has been used by urologists and radiologists to treat lymphocele. This modality is an effective treatment with fewer complications. Case presentation Case 1. A 70‐year‐old man, who underwent retropubic radical prostatectomy and bilateral obturator lymph node dissection, developed postoperative lymphocele. Continuous drainage and multiple rounds of sclerotherapy to reduce lymphocele volume ended in failure. Subsequently, lymphangiography with lipiodol and N‐butyl‐cyanoacrylate was performed, and the lymphocele volume gradually decreased. Case 2. A 75‐year‐old man underwent retropubic radical prostatectomy and bilateral obturator lymph node dissection. After surgery, the patient developed a high‐output lymphocele. The lymphocele volume decreased following lymphangiography with lipiodol. Conclusion Interventional radiology using lipiodol and N‐butyl‐cyanoacrylate could provide a new standard treatment for refractory lymphocele.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2577-171X
Relation: https://doaj.org/toc/2577-171X
DOI: 10.1002/iju5.12337
Access URL: https://doaj.org/article/db2f767e9fb7428388b1053b3ec973c4
Accession Number: edsdoj.b2f767e9fb7428388b1053b3ec973c4
Database: Directory of Open Access Journals
More Details
ISSN:2577171X
DOI:10.1002/iju5.12337
Published in:IJU Case Reports
Language:English