Kista of the kidney. Treatment

When a person is told after an ultrasound scan that a cyst is found on his kidney, he is immediately startled by a puzzled preoccupation that quickly grows into a painful suspiciousness. However, recently in humans, especially the elderly, the kidney cyst is quite common. Treatment in this case the patient could not even carry out, because he had not previously suspected his illness. The disease does not affect the person's health and does not pose a danger to life. The idea of a kidney cyst as an unexpectedly plagued mankind has developed as a result of widespread introduction of ultrasound in hospitals and clinics.

Most often, the kidney cyst is a pathological formation in the form of a globular cavity with dense walls filled with liquid contents. Simply put, it is a bag of connective tissue with a transparent yellowish liquid. The kidney cyst often acts as a congenital disease, it can also be formed due to prolonged inflammation and has the ability to gradually increase (can reach 10 cm in diameter).

Over the years, the disease may not even manifest itself in any way. A hidden development of the kidney cyst is observed in almost a quarter of patients. However, to think about how to cure a cyst on the kidney, they begin only when the first symptoms are detected, which manifest themselves with an increase in the cyst (usually more than 4 cm) or suppuration:

- Pain felt in the hypochondrium or lumbar region on the side where the affected kidney is located;

- Renal colic ;

- high blood pressure (arterial hypertension).

Unlike cancer, the kidney cyst is a benign neoplasm. That is why, if the doctor finds out that the patient has a kidney cyst, he does not always prescribe treatment. In 70% of cases it is easy to observe it without resorting to surgical active actions. If the size of the cyst is not large (diameter not more than 5-6 cm), and it gradually does not increase gradually, or increases slightly, but it does not contribute to impairment of the circulation of the kidney and urinary outflow, in this case, usually no treatment is required at all. It should only be once a year to undergo an ultrasound examination.

In general, it must be said that any person who has had a kidney cyst, the treatment should be selected strictly individually, if, of course, the presence of the cyst does not make itself felt, ie, Does not manifest itself, and there is no indication for her surgical removal. In the case of the presence of protein or erythrocytes in the urine, with a disturbed outflow of urine and severe pain, the question of how to treat a cyst on the kidney becomes more serious.

The most common and frequently used method of treating a single kidney cyst (not more than 5 cm in size) is a percutaneous puncture performed under the supervision of ultrasound using a thin needle, cyst drainage, i.e. Evacuation of the contents and the introduction of sclerosing agents (gluing agents) into its cavity, as a result of which the walls of the cyst stick together. In the renal tissue at this site, the cyst is no longer formed.

However, this method of treatment has a high probability of recurrence of the disease. In addition, from a technical point of view, not all cysts can be punctured (depends on its location in the kidney).

Other methods are used if it is revealed that very large sizes have reached the kidney cyst. Treatment in this case is carried out by means of a percutaneous operation with the aid of an X-ray machine under the control of an X-ray or ultrasound; all the contents of the cyst and its wall are removed. Open surgery is performed in rare cases: with the rupture or suppuration of the cyst, its degeneration into a tumor or with the death of the kidney, and also when the cyst is deep in the kidney. Determining the indications for an open-type operation (especially if the cyst is multi-chambered or there are septa), it is necessary to carry out not only ultrasound, but also computer tomography of organs located in the retroperitoneum, with ascertaining to exclude oncological disease.