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

doi:10.1016/j.eucr.2023.102630

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

Urol Case Rep. 2023 Nov 26:51:102630. doi: 10.1016/j.eucr.2023.102630. eCollection 2023 Nov.

Authors

Taisuke Okumura¹, Shiro Onozawa², Takumasa Amemiya¹, Yuki Matsumoto¹, Masayasu Urishibara¹, Kazuhiro Ishizaka¹

Affiliations

¹ Department of Urology, Teikyo University Hospital, Mizonokuchi, Kawasaki-shi, Kanagawa, 213-8507, Japan.
² Department of Radiology, Faculty of Medicine, Kyorin University, Shinkawa, Mitaka-shi, Tokyo, 181-8611, Japan.

Abstract

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.

Keywords: Inguinal lymphadenectomy; Intranodal glue embolization; Lymphorrhea; Penile cancer.

Publication types

Case Reports