Intranodal glue embolization for lymphorrhea following inguinal lymphadenectomy in penile cancer: A case report

Taisuke Okumura; Shiro Onozawa; Takumasa Amemiya; Yuki Matsumoto; Masayasu Urishibara; Kazuhiro Ishizaka

Urology Case Reports (Nov 2023)

Intranodal glue embolization for lymphorrhea following inguinal lymphadenectomy in penile cancer: A case report

Taisuke Okumura,
Shiro Onozawa,
Takumasa Amemiya,
Yuki Matsumoto,
Masayasu Urishibara,
Kazuhiro Ishizaka

Affiliations

Taisuke Okumura: Department of Urology, Teikyo University Hospital, Mizonokuchi, Kawasaki-shi, Kanagawa, 213-8507, Japan; Corresponding author. Department of Urology, Teikyo University Hospital, Mizonokuchi 5-1-1, Futago, Takatsu-ku, Kawasaki-shi, Kanagawa, 213-8507, Japan.
Shiro Onozawa: Department of Radiology, Faculty of Medicine, Kyorin University, Shinkawa, Mitaka-shi, Tokyo, 181-8611, Japan
Takumasa Amemiya: Department of Urology, Teikyo University Hospital, Mizonokuchi, Kawasaki-shi, Kanagawa, 213-8507, Japan
Yuki Matsumoto: Department of Urology, Teikyo University Hospital, Mizonokuchi, Kawasaki-shi, Kanagawa, 213-8507, Japan
Masayasu Urishibara: Department of Urology, Teikyo University Hospital, Mizonokuchi, Kawasaki-shi, Kanagawa, 213-8507, Japan
Kazuhiro Ishizaka: Department of Urology, Teikyo University Hospital, Mizonokuchi, Kawasaki-shi, Kanagawa, 213-8507, Japan

Journal volume & issue: Vol. 51
p. 102630

Abstract

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An 86-year-old man underwent total penectomy and bilateral inguinal lymphadenectomy (ILND) for penile cancer with an enlarged right inguinal lymph node. The accumulation of 100–150 ml of lymphatic fluid was observed in the right inguinal drain in a day after surgery. Compression was performed, without any improvement in lymphorrhea. During the right inguinal lymphangiography performed on postoperative day (POD) 28, lymphorrhea was still detected. Lymphorrhea was improved 2 days after intranodal glue embolization (IGE) was performed using a mixture of lipiodol and n-butyl-2 cyanoacrylate (NBCA). IGE was effective for intractable lymphorrhea after ILND in penile cancer.

Published in Urology Case Reports

ISSN: 2214-4420 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the genitourinary system. Urology
Website: http://www.urologycasereports.com/

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