Management regimens should include the following:

• Twice-daily washing of the affected parts with soap and water and drying with towels
• Raising the affected limb at night
• Regularly exercising the affected limb to promote lymph flow
• Keeping the nails and interdigital spaces clean
• Wearing shoes
• Use of antiseptic or antibiotic creams to treat small wounds or abrasions.

These same intensive local hygiene efforts and antibiotic ointments can also decrease the frequency of recurrent infection episodes in patients with elephantiasis of the penis or scrotum, but, unfortunately, principles of management have not yet been developed for successfully reversing the anatomic distortions caused by the infection.

Non-invasive management of chyluria relies on nutritional support, especially substitution of foods fat-rich by high protein, high fluid diets supplemented where possible with medium- chain triglycerides. 'Correction' of the lymphatic defect can be effected through surgery, but even the sclerosing effects of lymphangiography or, often, time alone can lead to the cessation