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

IJU Case Reports

Shinsaku Maeda¹  Nobuo Ohyama²  Masahiro Hashimura²  Yuki Oda²  Shunta Hori³  Kiyohide Fujimoto³ 

[1] Department of Urology Nara Medical University Kashihara Japan;Department of UrologyNara Prefecture Seiwa Medical Center KitakatsuragiJapan;Department ofRadiology Nara Prefecture Seiwa Seiwa Medical Center KitakatsuragiJapan;

关键词: lymphangiography;    N‐butyl‐cyanoacrylate;    Refractory lymphocele;   

DOI  :  10.1002/iju5.12337

来源: DOAJ

【 摘 要 】

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.

【 授权许可】

Unknown