Percutaneous injection sclerotherapy with tetracycline hydrochloride in simple renal cysts

Kılınç, Mehmet; Tufan, Osman; Güven, Selçuk; Ödev, Kemal; Gürbüz, Recai

doi:10.1007/s11255-007-9316-5

Cited by 13 publications

(10 citation statements)

References 19 publications

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“…In general, results of simple aspiration are associated with very high recurrence rates (up to 90%) [14][15][16][17]. Therefore, sclerotherapy is necessary for more sustainable results.…”

Section: Percutaneous Managementmentioning

confidence: 99%

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Surgical Management of Renal Cystic Disease

Agarwal

Hemal

2010

Curr Urol Rep

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The kidney is one of the most common sites for cyst in the body (prevalence about 5%). Symptomatic or incidental cyst needs to be characterized further based on Bosniak classification as simple (Bosniak type I & II) or complex (Bosniak type III & IV) cysts with respect to risk of malignancy or other effects on the kidney. The management of simple cysts is entirely for its symptoms or complications (eg, hemorrhage, infection, hydronephrosis, and hypertension). Percutaneous aspiration alone or with sclerotherapy often is the first-line treatment. Surgical decortication generally is reserved for recurrent or very large symptomatic cysts. Laparoscopic surgery is highly efficacious and is associated with high satisfaction rates with minimal morbidity. Retroperitoneal approach is generally preferred, especially in infected or hydatid renal cyst to avoid spillage or contamination of virgin peritoneal cavity. Cyst decortication seems to be an appropriate indication for newer-emerging single-port laparoscopic approaches such as natural orifice transluminal endoscopic surgery, single-incision laparoscopic surgery, or laparoendoscopic single-site surgery. Where available, robot-assisted surgical management can supplant pure laparoscopic management for complex cysts, hydatid cyst, peripelvic cyst, and autosomal dominant polycystic kidney disease without any outstanding benefits, but with added cost, when robot is used.

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“…In general, results of simple aspiration are associated with very high recurrence rates (up to 90%) [14][15][16][17]. Therefore, sclerotherapy is necessary for more sustainable results.…”

Section: Percutaneous Managementmentioning

confidence: 99%

“…Studies in references [14][15][16][17] also had an "aspiration only" group. This has been included for comparison.…”

Section: Percutaneous Managementmentioning

confidence: 99%

Surgical Management of Renal Cystic Disease

Agarwal

Hemal

2010

Curr Urol Rep

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“…Only a very small subset of patients with renal cysts needs surgical intervention. The treatment indications include abdominal and/or flank pain, hematuria, hypertension, recurrent urinary infection, and obstruction in the collecting system due to compression [12,13,14,15,16]. In our series, 9 patients had recurrent cyst after percutaneous aspiration and sclerotherapy, 3 infected polycystic kidney, and 3 caliceal obstruction.…”

Section: Discussionmentioning

confidence: 85%

Simultaneous Treatment of Renal Cysts and Stones with Single-Session Retroperitoneoscopic Renal Cyst Decortication and Retroperitoneoscopy-Assisted Percutaneous Nephrolithotomy

Qiu¹,

Wang²,

Chen³

et al. 2012

Urol Int

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Introduction: To determine the safety and efficacy of single-session retroperitoneoscopic renal cyst decortication in conjunction with retroperitoneoscopy-assisted percutaneous nephrolithotomy (PCNL) for simultaneous treatment of renal cysts and stones. Patients and Methods: We enrolled 15 patients (10 men and 5 women, mean age 41 years), who underwent one-stage retroperitoneoscopic renal cyst decortication and retroperitoneoscopy-assisted PCNL between January 2008 and May 2009 for symptomatic renal cysts and concomitant large kidney stones (mean stone area 6.6 cm²). Intraoperative blood loss, duration of operation, and postoperative complications were evaluated. Median follow-up time was 22 months (range 12–26). Results: Average total operative time was 83 ± 12 min and mean duration of PCNL was 45 ± 5 min. Mean estimated blood loss was 80 ± 21 ml. A plain abdominal radiograph revealed an absence of residual stones in all cases. No cyst recurrence occurred within the follow-up period. The mean pre- and postoperative pain score was 7.3 ± 0.8 and 2.8 ± 0.6, respectively. All patients resumed ambulatory activities on the first postoperative day. No severe complications related to the procedure were encountered. Conclusion: The combined laparoscopic approach for simultaneous treatment of renal cysts and stones is safe and feasible. These results encourage further studies to determine long-term outcomes of this combined surgery.

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“…Secretory epithelial lining the cyst wall must be destructed in order to prevent recurrence. For this purpose, various sclerosing agents such as bismuth-phosphate (9), tetracyclin hydrochloride (10), acetic acid (11), povidone-iodine (12), n-butyl cyanoacrylate and iodized oil (13), ethanolamine oleate (14), OK-432 (15) and minocycline hydrochloride (16) have been used after the cyst fluid aspiration. Ethanol is the most commonly used sclerosing agent.…”

Section: Discussionmentioning

confidence: 99%

The ole of Choice-Lck Catheter and Trocar Technique in Percutaneous Ablation of Symptomatic Renal Cysts

et al. 2014

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Background:The most common benign lesions of the kidney are simple cysts. They are acquired lesions and mostly affect the elderly population.Objectives:To describe the usage of choice-lock catheter and trocar technique in percutaneous renal cyst treatment and determining long-term outcomes.Patients and Methods:This retrospective study was carried out between February 2000 and July 2011. Eighty-eight cysts all of which were Bosniak type-1 cysts were selected in 75 patients. The treatment indications were flank pain, hydronephrosis and hypertension. The choice-lock catheter was used for 84 cysts with the trocar technique. Ninety-five percent ethanol was used as the sclerosing agent. Maximum volume of the injected ethanol was 175 ml. The mean follow-up time after the treatment procedure was 23 months. Sixty-four cysts were located in the cortical and 24 cysts were located at the parapelvic region.Results:Fifty-seven cysts had complete regression, while 31 cysts regressed partially. After the procedure, pain was relieved in 44 (82%) patients and the pain alleviated in four (8%). Normotension was obtained in five (62.5%) of the eight hypertensive patients and no hydronephrosis was detected in nine patients. There were no relationship between the localization and the regression rate. No major complications occurred.Conclusions:Percutaneous ethanol sclerotheraphy in simple cysts is a safe, cost-effective and minimally invasive method. We consider that this technique may be an alternative solution in the percutaneous cyst treatment.

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Percutaneous injection sclerotherapy with tetracycline hydrochloride in simple renal cysts

Cited by 13 publications

References 19 publications

Surgical Management of Renal Cystic Disease

Surgical Management of Renal Cystic Disease

Simultaneous Treatment of Renal Cysts and Stones with Single-Session Retroperitoneoscopic Renal Cyst Decortication and Retroperitoneoscopy-Assisted Percutaneous Nephrolithotomy

The ole of Choice-Lck Catheter and Trocar Technique in Percutaneous Ablation of Symptomatic Renal Cysts

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