ENDOSCOPIC MANAGEMENT OF PERSISTENT LYMPHOCELE FOLLOWING LAPAROSCOPIC PELVIC LYMPHADENECTOMY

Objective. To report an alternative form of management of a persistent lymphocele that was unresponsive to percutaneous drainage and ethanol sclerotherapy. Methods. Herein is described the technique of dilating the previously established percutaneous drainage tract to facilitate insertion of a flexible ureteroscope. Through this instrument electrosurgical fulguration of the lymphocele cavity was performed. Results. The patient had complete resolution of the lymphocele cavity on computed tomography (CT) scan and remains asymptomatic at six months of follow-up. Conclusions. Flexible ureteroscopic access and fulguration of a lymphocele proved to be a safe and effective method of obliterating the lymphocele cavity.