# Severe filarial chyluria Managed successfully with sclerotherapy: A case report from Sudan

## TL;DR

A Sudanese man with severe chyluria caused by filariasis was successfully treated with povidone iodine sclerotherapy after other treatments failed.

## Contribution

This case report demonstrates the successful use of povidone iodine sclerotherapy for severe filarial chyluria.

## Key findings

- Sclerotherapy with 5% povidone iodine resolved severe chyluria in a patient unresponsive to medical treatment.
- The procedure was performed without significant complications.
- Povidone iodine sclerotherapy is a safe and effective option for moderate to severe chyluria.

## Abstract

Chyluria is characterized by the passage of milky urine resulting from abnormal lymphatic drainage into the urinary tract. In parasitic cases, it is commonly caused by Wuchereria bancrofti and has varying severities. Diagnosis relies on clinical, laboratory, and radiological assessments, with treatment options spanning dietary modifications to surgical interventions.

A 43-year-old male presented with chyluria for one year. He received medical treatment for filariasis without response. sclerotherapy with 5 % povidone Iodine was done successfully.

Severe cases of chyluria can be treated successfully with povidone Iodine 5 %.

•Chyluria results from abnormal lymphatic drainage into the urinary tract.•The patient, after failing medical treatments, underwent successful sclerotherapy without significant complications.•Treatment: Sclerotherapy with povidone Iodine proved effective for moderate to severe chyluria.•Conclusion: Sclerotherapy with povidone Iodine is a safe and effective treatment for severe cases of chyluria.

Chyluria results from abnormal lymphatic drainage into the urinary tract.

The patient, after failing medical treatments, underwent successful sclerotherapy without significant complications.

Treatment: Sclerotherapy with povidone Iodine proved effective for moderate to severe chyluria.

Conclusion: Sclerotherapy with povidone Iodine is a safe and effective treatment for severe cases of chyluria.