TREATMENT OF POSTTRANSPLANT LYMPHOCELE WITH POVIDONE-IODINE SCLEROSIS- LONG-TERM FOLLOW-UP

Percutaneous transcatheter sclerosis with iodate-povidone has been pro posed as a treatment of posttransplant lymphocele. We treated 19 lymph oceles with iodate-povidone, 10 of them totally resolved and 6 promptl y recurred. Three recurrences were treated conservatively and in 3 the treatment was repeated with success. Therefore, we have a low recurre nce and retreatment rate. Our total resolution rate was 100%. Complica tions due to the treatment were rare. In the long term no patient has developed any renal or perirenal complication related to iodine sclero sis. We conclude that iodine sclerosis is a safe and effective treatme nt of posttransplant lymphocele. We think that surgical procedures mus t be reserved to collections adjacent to renal hilum or inaccessible f or safe puncturing.