MICROSURGERY IN THE TREATMENT OF CHYLURIA AND SCROTAL LYMPHANGIAL FISTULA

Thirty-nine cases of chyluria and scrotal lymphangial fistula treated by microsurgery between April 1980 and October 1989 are presented. Sev eral different methods were used. In males a lymphatico-venous anastom osis of the spermatic cord was performed and in females the lower ingu inal lymph nodes were anastomosed to the branches of the greater saphe nous vein. In patients with scrotal lymphangial fistulae, bilateral ly mphatico-venous anastomosis was carried out after excision of the fist ula and scrotoplasty. Thirty-seven patients were followed up for 1 to 9 years, 36 being cured by a single operation.