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Can Surgery Cure Kidney Cysts

2012-10-20 17:33

Kidney cysts usually have slow progression and good prognosis. For those that do not cause obvious discomforts, oppression or obstruction, no surgical interference is needed, nor is the oral intake of medicine because in the early stage the small cysts usually do not affect the normal daily life. What are needed are B ultrasound and other related tests such as urine test, blood test and kidney function test every 6 to 12 months to have close observation and monitoring of the cysts.

Generally the indicators for requiring surgical treatments are:

1. Pains in back and abdomen or other discomforts or those that have heavy mental burdens;

2. The diameter of the cyst is larger than 4cm or the size has obvious enlargement recently;

3. Patients have symptoms of oppression and hydronephrosis or in case of cyst rupture, bleeding and infections, etc;

4. Those that have the possibility of cancerization.

At present the main surgery for removing kidney cyst is laparoscopic unroofing decompression. It has a lot of advantages compared with traditional puncture including reduced risk and recurrent rate, quicker recovery and shorter hospitalization. Puncture is to use a fine needle to drain the cystic fluids out of the cysts under the guidance of ultrasound and then alcohol will be injected into the cyst to harden it.

However kidney cysts still can not be cured by it because the surgery does not solve the root problem and the cystic fluids will continue to be secreted and other cysts will be formed.

The root problem is the phenotypic transformation of the cystic epithelial cells. And that is why the size and number of the cysts will increase along with time. Surgery has quick effects which can not be denied, but it is also a therapy that aims to remove the necrotic and dead tissues without repairing and regulations, that is why it can not cure the kidney cysts.


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