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.
Urology case reports. 2023 Nov 26*** epublish ***
Taisuke Okumura, Shiro Onozawa, Takumasa Amemiya, Yuki Matsumoto, Masayasu Urishibara, Kazuhiro Ishizaka
Department of Urology, Teikyo University Hospital, Mizonokuchi, Kawasaki-shi, Kanagawa, 213-8507, Japan., Department of Radiology, Faculty of Medicine, Kyorin University, Shinkawa, Mitaka-shi, Tokyo, 181-8611, Japan.