Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Case Report
  • Published:

The treatment of chyluria secondary to advanced carcinoma of the prostate

Prostate Cancer and Prostatic Diseases volume 11, pages 102–105 (2008)Cite this article

Abstract

Chyluria has not been previously reported as being associated with carcinoma of the prostate. The most common cause is lymphatic filariasis, a parasitic disease. Non-parasitic chyluria is rare. We describe a case of chyluria associated with carcinoma of the prostate. We describe our successful management in this case and highlight how urologists may overcome problematic chyluria in patients with advanced carcinoma of the prostate.

This is a preview of subscription content, access via your institution

Access options

Buy this article

  • Purchase on Springer Link
  • Instant access to full article PDF
Buy now

Prices may be subject to local taxes which are calculated during checkout

Figure 1

Similar content being viewed by others

References

  1. Franco-Paredes C, Hidron A, Steinberg J . A woman from British Guyana with recurrent back pain and fever. Chyluria associated with infection due to Wuchereria bancrofti. Clin Infect Dis 2006; 42: 1297.

    Article  PubMed  Google Scholar 

  2. Fakhouri F, Matignon M, Therby A, Méjean A, Correas J-M, Challier S et al. The man with ‘milk-shake’ urine. Lancet 2004; 364: 1638.

    Article  PubMed  Google Scholar 

  3. Sherman RH, Goldman LB, deVere-White RW . Filarial chyluria as a cause of acute urinary retention. Urology 1987; 29: 642–645.

    Article  CAS  PubMed  Google Scholar 

  4. DeVries CR . The role of the urologist in the treatment and elimination of lymphatic filariasis worldwide. BJU Int 2002; 89 (Suppl 1): 37–43.

    Article  PubMed  Google Scholar 

  5. Verjans V, Peluso J, Oyen R, Maes B . Magnetic resonance imaging of non-tropical chyluria due to distal thoracic duct obstruction. Nephrol Dial Transplant 2004; 19: 3200–3201.

    Article  PubMed  Google Scholar 

  6. Kekre NS, Arun N, Date A . Retroperitoneal cystic lymphangioma causing intractable chyluria. Br J Urol 1998; 81: 327–328.

    Article  CAS  PubMed  Google Scholar 

  7. Wilson RS, White RJ . Lymph node tuberculosis presenting as chyluria. Thorax 1976; 31: 617–620.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Chen HS, Yen TS, Lu YS, Yang JC, Ko YL . Transient ‘milky urine’ after cardiac catheterization: another unreported cause of non-parasitic chyluria. Nephron 1996; 72: 367–368.

    Article  CAS  PubMed  Google Scholar 

  9. Ehrlich RM, Hecht HL, Veenema RJ . Chyluria following aorto-iliac bypass graft: a unique method of radiologic diagnosis and review of the literature. J Urol 1972; 107: 302–303.

    Article  CAS  PubMed  Google Scholar 

  10. Tuck J, Pearce I, Pantelides M . Chyluria after radical nephrectomy treated with N-butyl-2-cyanoacrylate. J Urol 2000; 164: 778–779.

    Article  CAS  PubMed  Google Scholar 

  11. Burnett JR, Sturdy GG, Smith SJ, Ten Y, McComish MJ . ‘Milky’ urine: a case of chyluria. Med J Aus 2004; 180: 89.

    Google Scholar 

  12. Constable AR, Cranage RW . Recognition of the superscan in prostatic bone scintigraphy. Br J Radiol 1981; 54: 122–125.

    Article  CAS  PubMed  Google Scholar 

  13. Peng HW et al. Urine lipids in patients with a history of filariasis. Urol Res 1997; 25: 217–221.

    Article  CAS  PubMed  Google Scholar 

  14. Pui MH, Yueh TC . Lymphoscintigraphy in chyluria, chyloperitoneum and chylothorax. J Nucl Med 1998; 39: 1292–1296.

    CAS  PubMed  Google Scholar 

  15. Ottesen EA, Duke BO, Karam M, Behbehani K . Strategies and tools for the control/elimination of lymphatic filariasis. Bull WHO 1997; 75: 491–503.

    CAS  PubMed  Google Scholar 

  16. Nanduri J, Kazura J . Clinical and laboratory aspects of filariasis. Clin Microbiol Rev 1989; 2: 39–50.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  17. Reddy GS, Das LK, Pani SP . The preferential site of adult Wuchereria bancrofti: an ultrasound study of male asymptomatic microfilaria carriers in Pondicherry, India. Natl Med J India 2004; 17: 195–196.

    PubMed  Google Scholar 

  18. More SJ, Copeman DB . A highly specific and sensitive monoclonal antibody-based enzyme immunoassay for detecting parasite antigenaemia in Bancroftian filariasis. Trop Med Parasitol 1990; 41: 403–406.

    CAS  PubMed  Google Scholar 

  19. Witte CL, Witte MH, Unger EC, Williams WH, Bernas MJ, McNeill GC et al. Advances in imaging of lymph flow disorders. Radiographics 2000; 20: 1697–1719.

    Article  CAS  PubMed  Google Scholar 

  20. Nishiyama Y, Yamamoto Y, Mori Y, Satoh K, Takashima H, Ohkawa M et al. Usefulness of technetium-99m human serum albumin lymphoscintigraphy in chyluria. Clin Nucl Med 1998; 23: 429–431.

    Article  CAS  PubMed  Google Scholar 

  21. Haddad MC, al-Shahed MS, Sharif HS, Miola UJ . Case report: investigation of chyluria. Clin Radiol 1994; 49: 137–139.

    Article  CAS  PubMed  Google Scholar 

  22. Goel S et al. Is povidone iodine an alternative to silver nitrate for renal pelvic instillation sclerotherapy in chyluria? BJU Int 2004; 94: 1082–1085.

    Article  CAS  PubMed  Google Scholar 

  23. Sabnis RB, Punekar SV, Desai RM, Bradoo AM, Bapat SD . Instillation of silver nitrate in the treatment of chyluria. Br J Urol 1992; 70: 660–662.

    Article  CAS  PubMed  Google Scholar 

  24. Hemal AK, Gupta NP . Retroperitoneoscopic lymphatic management of intractable chyluria. J Urol 2002; 167: 2473–2476.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Urology, Huddersfield Royal Infirmary, Huddersfield, UK

    S A Cluskey, A Myatt & M A Ferro

Authors
  1. S A Cluskey
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. A Myatt
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. M A Ferro
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to S A Cluskey.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Cluskey, S., Myatt, A. & Ferro, M. The treatment of chyluria secondary to advanced carcinoma of the prostate. Prostate Cancer Prostatic Dis 11, 102–105 (2008). https://doi.org/10.1038/sj.pcan.4500994

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/sj.pcan.4500994

Keywords

This article is cited by

Search

Advanced search

Quick links