A.M. Fridberg, E.O. Svetlichny, Y.P. Ukrainets

Diapevtiсs in treatment of simple renal cysts

The article summarizes 26 years of experience in the treatment of solitary renal cysts in the Urology Clinic of the Dnepropetrovsk Medical Academy. In modern urology there are different types of operational areas in addressing this disease. The authors identify five areas: lumbotomic surgery with excision of the cyst wall, cyst aspiration puncture, puncture the cyst aspiration with simultaneous introduction of the sclerosing solution into its cavity, aspiration puncture with drainage of the cyst cavity and subsequent sessions of sclerotherapy and laparoscopic dissection or retrperitoneal cyst wall. Our expertise is based on 624 patients. The priority method, we adopted an aspiration puncture with drainage of the cyst cavity for sessions of sclerotherapy and laparoscopic excision of the cyst wall. Cyst aspiration performed using ultrasound scanner after cystogram mounted drainage-type «pig teil». In the absence of communication with the cavity of the cyst cavity system of the kidneys can begin to sclerotherapy, which is held until the complete cessation of discharge from the drainage. Then drain removed.

Patients with cysts diameter from 1.5 to 5 cm are subject to dispensary observation. When the brush size from 5 to 10 cm, we assign aspiration puncture drainage with sclerotherapy. Cyst diameter of more than 10cm are subject laparoscopic intervention. As sclerosing drug authors prefer iodine-alcohol mixture. All patients attending the clinic, mapped and must be registered with the clinic.