Effective Concentration of Povidone Iodine Renal Pelvis Instillation in the treatment of Chyluria.

Rajesh, R (2007) Effective Concentration of Povidone Iodine Renal Pelvis Instillation in the treatment of Chyluria. Masters thesis, Stanley Medical College, Chennai.

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Abstract

INTRODUCTION : Chyluria is the presence of chyle in the urine. This has been recognized since the time of Charak (300 BC) who described it as 'Shuklameha' Hippocrates recognized and described chyluria. Following discovery of the lymphatic circulation by JEAN Pecquet in 1651, Moellenbrogii ascribed chylous urine to an abnormal junction of the lymphatic and urinary systems. Nearly 100 years later Otto Wucherer, working in Brazil in 1866, found microfilaria in the urine of a patient with heamaturia. Wood in 1929 \first demonstrated pyelolymphatic backflow in retrograde pyelography. AIM AND OBJECTIVE : 1. To determine the percentage of Povidone Iodine required for cure of chyluria after single dose renal pelvis instillation. 2. To compare efficacy of percentage of Povidone Iodine versus side effects. MATERIALS AND METHODS : Between September 2004 and April 2007, all patients who presented with complaints of milky white colored urine (chylous) were evaluated. Patients were asked to bring freshly voided urine in a transparent bottle. After inspection Ether test was done to demonstrate chyluria. CONCLUSION : Between September 2004 and April 2007 all patients of chyluria were studied with single dose renal pelvis instillation of Povidone Idine 5 % Povidone Idine had the best success rate in clearing chyluria (94.4 %). The most common complication was severe pain which occurred in 38.8 %) 2.5 % Povidone Idine had a success rate of 83.33 % with no significant during and after the procedure. 1 % Povidone Idine had the most failure. The success rate was 33.33 %. which was worse than .5 % Povidone Idine. There was no significant complication.we cannot come to a conclusion why this variation happened. .5 % Povidone Idine had a the sucess rate of 72.2 % with no significant complicating. We conclude that 2.5 % Povidone Iodine single pelvis instillation is the ideal dose, which gives good success with no major complications.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Effective Concentration ; Povidone Iodine Renal Pelvis Instillation ; treatment ; Chyluria.
Subjects: MEDICAL > Urology
Depositing User: Kambaraman B
Date Deposited: 09 Aug 2017 02:16
Last Modified: 09 Aug 2017 02:16
URI: http://repository-tnmgrmu.ac.in/id/eprint/2561

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