Background/Objective: Pelvic and retroperitoneal lymphoceles remain a clinically significant complication following pelvic surgery. The optimal minimally invasive management strategy continues to be a matter of debate. The objective of this study is to compare daily catheter drainage and catheter length of stay after percutaneous catheterization in patients with iatrogenic pelvic lymphocele who undergo sclerotherapy alone versus sclerotherapy with intranodal lymphangiography and lymphatic embolization (INL–LE). Methods: A total of 47 patients (55 lymphoceles) who developed symptomatic pelvic or retroperitoneal lymphoceles after oncologic pelvic surgery were retrospectively reviewed between September 2020 and April 2023. They were divided into two groups, one treated with sclerotherapy alone (24 lesions) and the other with sclerotherapy combined with INL–LE (31 lesions). The duration of catheter placement, daily drainage volume during sclerotherapy, lymphocele volume, and catheter dwell time subsequent to lymphatic embolization were compared between the two groups. Results: Of the 55 lymphoceles, 31 were treated with sclerotherapy plus lymphangiography/embolization (INL–LE group), whereas 24 lymphoceles were treated with sclerotherapy alone. Baseline characteristics were not different between the groups. Although initial drainage was higher in the INL–LE group, third-day drainage volume, the number of sclerotherapy sessions, and catheter dwell time were all significantly lower compared with the sclerotherapy group (all p < 0.001). Lesion size positively correlated with drainage volume and catheter duration, whereas embolization negatively correlated with drainage volume, the number of sessions, and catheter duration. Based on multivariate analysis, the addition of INL–LE was independently associated with a significantly shorter catheter dwell time (β = −0.803, p = 0.001). Conclusions: In this retrospective cohort, the addition of lymphatic embolization to sclerotherapy was associated with reduced drainage persistence and a shorter catheter dwell time compared with sclerotherapy alone.

Pelvis Anatomisi Furkan Abdullah VURAL İşeme Fizyolojisi Ali Ertan OKATAN Üriner Kontinans Mekanizmaları Nihat KARABACAK Berk BATUK Üriner İnkontinans Prevalansı Tuncer BAHÇECİ Noktüri İbrahim SİBAL Üriner İnkontinansta Sınıflandırma ve Değerlendirme Mehmet Sefa ALTAY Alt Üriner Sistem Nöromusküler Disfonksiyonu Mahmut UĞURLU Aşırı Aktif Mesane Mahmut UĞURLU Kadınlarda Stres Tip İdrar Kaçırma Mustafa KABA İrem Aleyna TEKE Pelvik Organ Prolapsusu ve İdrar Kaçırma Ercüment KESKİN Ayşenur BALIKÇI Geriatrik Hastalarda Alt Üriner Sistem Bozuklukları ve İdrar Kaçırma Nurşah SARIDUMAN Ahmet Eren DEMİRTOLA Post-Prostatektomi İnkontinans Ali Ertan OKATAN Mesane Ağrı Sendromu (İnterstisyel Sistit) Ömür MEMİK Genitoüriner Sistem Fistülleri Ali Erhan EREN Baran ARSLAN Nokturnal Enürezis Kadir Şerefhan ERTEN Damla Nur TATLI ŞAHİN Kadınlarda Üretral Divertiküller Görkem AKÇA Selim YAZAR Üriner İnkontinansta Medikal Tedaviler İlke Onur KAZAZ Nurettin KOLLU Üriner İnkontinans Cerrahi Tedavisi İlke Onur KAZAZ Abdullah Harun BAYRAM