A.M. Fridberg, E.A. Svetlichny
Modern aspects in the treatment of simple renal cysts
The article summarizes 20 years of experience in the treatment of solitary renal cysts in the Urology Clinic of Dnepropetrovsk State Medical Academy. In modern urology, there are different types of operational focus on the issue of the disease. The authors identify five areas: lumbotomic surgery with excision of the cyst wall, cyst aspiration puncture, aspiration puncture the cyst with simultaneous introduction of a sclerosing solution into its cavity, aspiration puncture with drainage of the cyst and subsequent sessions of sclerotherapy and laparoscopic retroperitoneal dissection or cyst wall. Our experience is based on 552 patients. Priority method we have taken aspiration puncture with drainage of the cyst for sessions of sclerotherapy and lapo- roscopic dissection cyst wall. Cyst puncture performed using ultrasound scanner after cystography installed drainage type «pig teil». If there is no communication with the cavity of the cyst cavity systems kidneys can begin to sclerotherapy, which is held until the complete cessation of discharge from the drainage. Then drain removed.
Patients with cysts with a diameter of 1.5 to 5 cm be dispensary observation. When the brush size from 5 to 10 cm, we assign aspiration puncture drainage with sclerotherapy. Cyst diameter greater than 10 cm are subject laparoscopic intervention. As sclerosing drug authors prefer iodine-alcohol mixture. All patients attending the clinic are registered.