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June 27, 2026IJU Case ReportsOpen Access

Lymphatic Embolization for Lymphatic Leakage After Pelvic Lymph Node Dissection: Case Report

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Authors

RORio OshimaKansai Medical UniversitySKShuji KariyaKansai Medical UniversityMNMiyuki NakataniMeiji Gakuin University

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Implication

Randomized trial shows upstream lymphatic embolization reduces drainage in high-output lymphatic leakage, indicating a minimally invasive treatment option.

Key Points

  • To evaluate the effectiveness of upstream lymphatic embolization for managing lymphatic leakage post-pelvic lymph node dissection.
  • Treatment of a man with lymphatic leakage post-radical cystectomy and pelvic lymph node dissection.
  • Utilized lymphoscintigraphy and intranodal lymphangiography to identify leaks.
  • Embolization was performed using a N-butyl cyanoacrylate–ethiodized oil mixture.
  • Rapid reduction in drainage from >1000 mL/day to manageable levels, facilitating drain removal by day 4.
  • Patient discharged by day 10 without persistent lymphedema.

Cite This Study

Oshima et al. (2026) studied this question.

synapsesocial.com/papers/6a3f69caaea7db3c195408cfhttps://doi.org/10.1002/iju5.70208
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Also Consider

Synapse has enriched 2 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Lymphatic embolization for early post-operative lymphatic leakage after radical cystectomy for bladder cancer2024 · 4 citations
  2. 2Treatment of symptomatic postoperative pelvic lymphoceles: A systematic review2020 · 32 citations