Use of talcum in sclerotherapy of pelvic lymphoceles

Lymphoceles sometimes constitute an inconvenient problem after pelvic surgery combined with lymphadenectomy. We report on a case of a patient with carcinoma of the prostate treated by radical prostatectomy and pelvic lymphadenectomy, who developed a large pelvic lymphocele after surgery. The lymphocele was drained by a nephrostomy tube and sclerotherapy using a talcum solution was performed. Talcum is frequently used successfully in pleurodesis. The lymphocele disappeared within 2 weeks after one administration of the solution. Sclerotherapy with a talcum solution can be recommended as a simple, safe, and effective method in pelvic lymphoceles. The single dose and the lack of side effects are advantageous to other agents.