Ultrasound - Guided Percutaneous Sclerotherapy of Simple Renal Cysts - Five Years Report
Journal
BANTAO Journal
Date Issued
2020
Author(s)
Naumovski Krume
Abstract
Introduction. The sclerotherapy is considered a safe
and effective treatment of simple renal cysts, usually per-
formed by urologists. It was a five-year retrospective
report on our tertiary clinical experience with simple
renal cysts sclerotherapy performed by nephrologists.
Methods. We analyzed the medical histories of patients
who underwent sclerotherapy from January 2015 until
the end of December 2019 counting overall 23 sessions
of sclerotherapy. The method (aspiration or drainage)
was chosen according to cyst size and depth. Sclerothe-
rapy with 96% alcohol was performed. The cyst size
was recorded, and the curative effect was evaluated by
the residual cyst volume; over 20% residua in the cyst
size was considered as a failed treatment. Patients we-
re reexamined by ultrasound at 12-month follow-up, or
earlier if symptomatic.
Results. The mean age of patients was 58.68±11.08
years and majority of them were females. Most of the
cysts [17] induced flank pain, dysregulated hypertension
was present in 22% of patients and one have obstructted
the urine flow. The mean cyst volume was 540±307.51
ml. All cysts were successfully treated. The mean cyst
volume decreased significantly. Concerning the compli-
cations, sporadic cases of pain and vomitus occurred du-
ring only three treatment procedures. At the follow-up,
all patients who suffered from unsatisfactory blood pre-
ssure control improved and the hydronephrosis resolved.
In five cases there was reoccurrence of a symptomatic
cyst, with a need of re-treatment in the follow-up period.
Conclusion. Ultrasound-guided aspiration and sclerothe-
rapy of simple renal cysts is a safe and effective proce-
dure that may be carried out by nephrologists.
and effective treatment of simple renal cysts, usually per-
formed by urologists. It was a five-year retrospective
report on our tertiary clinical experience with simple
renal cysts sclerotherapy performed by nephrologists.
Methods. We analyzed the medical histories of patients
who underwent sclerotherapy from January 2015 until
the end of December 2019 counting overall 23 sessions
of sclerotherapy. The method (aspiration or drainage)
was chosen according to cyst size and depth. Sclerothe-
rapy with 96% alcohol was performed. The cyst size
was recorded, and the curative effect was evaluated by
the residual cyst volume; over 20% residua in the cyst
size was considered as a failed treatment. Patients we-
re reexamined by ultrasound at 12-month follow-up, or
earlier if symptomatic.
Results. The mean age of patients was 58.68±11.08
years and majority of them were females. Most of the
cysts [17] induced flank pain, dysregulated hypertension
was present in 22% of patients and one have obstructted
the urine flow. The mean cyst volume was 540±307.51
ml. All cysts were successfully treated. The mean cyst
volume decreased significantly. Concerning the compli-
cations, sporadic cases of pain and vomitus occurred du-
ring only three treatment procedures. At the follow-up,
all patients who suffered from unsatisfactory blood pre-
ssure control improved and the hydronephrosis resolved.
In five cases there was reoccurrence of a symptomatic
cyst, with a need of re-treatment in the follow-up period.
Conclusion. Ultrasound-guided aspiration and sclerothe-
rapy of simple renal cysts is a safe and effective proce-
dure that may be carried out by nephrologists.