Two cases of pelvic lymphocele after prostatectomy and dissection of obturator lymph nodes successfully treated by interventional radiology
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...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2021-09-01
|
| Series: | IJU Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/iju5.12337 |
| _version_ | 1819115141386469376 |
|---|---|
| author | Yuki Oda Nobuo Ohyama Masahiro Hashimura Shinsaku Maeda Shunta Hori Kiyohide Fujimoto |
| author_facet | Yuki Oda Nobuo Ohyama Masahiro Hashimura Shinsaku Maeda Shunta Hori Kiyohide Fujimoto |
| author_sort | Yuki Oda |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-22T04:56:28Z |
| format | Article |
| id | doaj.art-db2f767e9fb7428388b1053b3ec973c4 |
| institution | Directory Open Access Journal |
| issn | 2577-171X |
| language | English |
| last_indexed | 2024-12-22T04:56:28Z |
| publishDate | 2021-09-01 |
| publisher | Wiley |
| record_format | Article |
| series | IJU Case Reports |
| spelling | doaj.art-db2f767e9fb7428388b1053b3ec973c42022-12-21T18:38:22ZengWileyIJU Case Reports2577-171X2021-09-014532232510.1002/iju5.12337Two cases of pelvic lymphocele after prostatectomy and dissection of obturator lymph nodes successfully treated by interventional radiologyYuki Oda0Nobuo Ohyama1Masahiro Hashimura2Shinsaku Maeda3Shunta Hori4Kiyohide Fujimoto5Department of UrologyNara Prefecture Seiwa Medical Center KitakatsuragiJapanDepartment of UrologyNara Prefecture Seiwa Medical Center KitakatsuragiJapanDepartment of UrologyNara Prefecture Seiwa Medical Center KitakatsuragiJapanDepartment of Urology Nara Medical University Kashihara JapanDepartment ofRadiology Nara Prefecture Seiwa Seiwa Medical Center KitakatsuragiJapanDepartment ofRadiology Nara Prefecture Seiwa Seiwa Medical Center KitakatsuragiJapanIntroduction 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.https://doi.org/10.1002/iju5.12337lymphangiographyN‐butyl‐cyanoacrylateRefractory lymphocele |
| spellingShingle | Yuki Oda Nobuo Ohyama Masahiro Hashimura Shinsaku Maeda Shunta Hori Kiyohide Fujimoto Two cases of pelvic lymphocele after prostatectomy and dissection of obturator lymph nodes successfully treated by interventional radiology IJU Case Reports lymphangiography N‐butyl‐cyanoacrylate Refractory lymphocele |
| title | Two cases of pelvic lymphocele after prostatectomy and dissection of obturator lymph nodes successfully treated by interventional radiology |
| title_full | Two cases of pelvic lymphocele after prostatectomy and dissection of obturator lymph nodes successfully treated by interventional radiology |
| title_fullStr | Two cases of pelvic lymphocele after prostatectomy and dissection of obturator lymph nodes successfully treated by interventional radiology |
| title_full_unstemmed | Two cases of pelvic lymphocele after prostatectomy and dissection of obturator lymph nodes successfully treated by interventional radiology |
| title_short | Two cases of pelvic lymphocele after prostatectomy and dissection of obturator lymph nodes successfully treated by interventional radiology |
| title_sort | two cases of pelvic lymphocele after prostatectomy and dissection of obturator lymph nodes successfully treated by interventional radiology |
| topic | lymphangiography N‐butyl‐cyanoacrylate Refractory lymphocele |
| url | https://doi.org/10.1002/iju5.12337 |
| work_keys_str_mv | AT yukioda twocasesofpelviclymphoceleafterprostatectomyanddissectionofobturatorlymphnodessuccessfullytreatedbyinterventionalradiology AT nobuoohyama twocasesofpelviclymphoceleafterprostatectomyanddissectionofobturatorlymphnodessuccessfullytreatedbyinterventionalradiology AT masahirohashimura twocasesofpelviclymphoceleafterprostatectomyanddissectionofobturatorlymphnodessuccessfullytreatedbyinterventionalradiology AT shinsakumaeda twocasesofpelviclymphoceleafterprostatectomyanddissectionofobturatorlymphnodessuccessfullytreatedbyinterventionalradiology AT shuntahori twocasesofpelviclymphoceleafterprostatectomyanddissectionofobturatorlymphnodessuccessfullytreatedbyinterventionalradiology AT kiyohidefujimoto twocasesofpelviclymphoceleafterprostatectomyanddissectionofobturatorlymphnodessuccessfullytreatedbyinterventionalradiology |