{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T20:05:44Z","timestamp":1774641944597,"version":"3.50.1"},"reference-count":10,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>The passage of milky white urine (chyluria) is an alarming sign. Safety and efficacy of silver nitrate instillation therapy for chyluria has been demonstrated in various studies in literature. Inspite of these, various serious complications following silver nitrate therapy have been reported from the regions where the pathology is prevalent. Even today, no protocol has been standardised for instillation therapy for chyluria about the ideal agent used, exact concentration or amount to be instilled, total number of instillations and doses per instillation to be administered. We presented a devastating complication of silver nitrate instillation therapy resulted in acute renal failure followed by later formation of long ureteric stricture in a patient resulting in long-term morbidity to the patient. There is a need for more vigilant approach and standardisation of protocol for silver nitrate instillation for treatment of chyluria.<\/jats:p>","DOI":"10.1136\/bcr-2013-201270","type":"journal-article","created":{"date-parts":[[2013,9,26]],"date-time":"2013-09-26T11:36:33Z","timestamp":1380195393000},"page":"bcr2013201270","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Devastating complication of silver nitrate instillation for the treatment of chyluria"],"prefix":"10.1136","volume":"2013","author":[{"given":"Manish","family":"Garg","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deepansh","family":"Dalela","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Apul","family":"Goel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2013,9,26]]},"reference":[{"key":"2025042709221473000_2013.sep26_1.bcr2013201270.1","doi-asserted-by":"crossref","first-page":"1107","DOI":"10.1016\/j.urology.2004.07.035","article-title":"Povidone iodine and dextrose solution combination sclerotherapy in chyluria","volume":"2013","author":"Nandy","year":"2004","journal-title":"Urology"},{"key":"2025042709221473000_2013.sep26_1.bcr2013201270.2","doi-asserted-by":"crossref","first-page":"660","DOI":"10.1111\/j.1464-410X.1992.tb15839.x","article-title":"Instillation of silver nitrate in the treatment of chyluria","volume":"2013","author":"Sabnis","year":"1992","journal-title":"Br J Urol"},{"key":"2025042709221473000_2013.sep26_1.bcr2013201270.3","doi-asserted-by":"crossref","first-page":"384","DOI":"10.1111\/j.1464-410X.1981.tb03204.x","article-title":"Abnormalities of the immune system in patients with chyluria","volume":"2013","author":"Date","year":"1981","journal-title":"Br J Urol"},{"key":"2025042709221473000_2013.sep26_1.bcr2013201270.4","doi-asserted-by":"crossref","first-page":"2473","DOI":"10.1016\/S0022-5347(05)65007-0","article-title":"Retroperitoneoscopic lymphatic management of intractable chyluria","volume":"2013","author":"Hemal","year":"2002","journal-title":"J Urol"},{"key":"2025042709221473000_2013.sep26_1.bcr2013201270.5","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1111\/j.1464-410X.1992.tb15531.x","article-title":"Routine radio-imaging in filarial chyluria\u2014is it necessary in developing countries?","volume":"2013","author":"Dalela","year":"1992","journal-title":"Br J Urol"},{"key":"2025042709221473000_2013.sep26_1.bcr2013201270.6","doi-asserted-by":"crossref","first-page":"1015","DOI":"10.1016\/S0022-5347(17)42753-4","article-title":"Ureteral stenosis after silver nitrate instillation in the treatment of essential hematuria","volume":"2013","author":"Vijan","year":"1988","journal-title":"J Urol"},{"key":"2025042709221473000_2013.sep26_1.bcr2013201270.7","doi-asserted-by":"crossref","first-page":"512","DOI":"10.1016\/S1607-551X(09)70251-7","article-title":"Acute necrotizing ureteritis with obstructive uropathy following instillation of silver nitrate in chyluria: a case report","volume":"2013","author":"Su","year":"2004","journal-title":"Kaohsiung J Med Sci"},{"key":"2025042709221473000_2013.sep26_1.bcr2013201270.8","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1111\/j.1440-1673.1998.tb00502.x","article-title":"Arterial haemorrhage following instillation of silver nitrate in chyluria: treatment by coil embolization","volume":"2013","author":"Srivastava","year":"1998","journal-title":"Australas Radiol"},{"key":"2025042709221473000_2013.sep26_1.bcr2013201270.9","first-page":"203","article-title":"An unusual complication of silver nitrate therapy for chyluria","volume":"2013","author":"Dhabalia","year":"2007","journal-title":"Indian J Urol"},{"key":"2025042709221473000_2013.sep26_1.bcr2013201270.10","doi-asserted-by":"crossref","first-page":"926","DOI":"10.1046\/j.1464-410X.1998.00839.x","article-title":"Can silver nitrate instillation for the treatment of chyluria be fatal?","volume":"2013","author":"Mandhani","year":"1998","journal-title":"Br J Urol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2013-201270","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T16:22:22Z","timestamp":1745770942000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2013-201270"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,9,26]]},"references-count":10,"alternative-id":["10.1136\/bcr-2013-201270"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2013-201270","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,9,26]]}}}