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Surgery For Polycystic Kidney Disease

Renal cyst decortication and paracentesis are two high-risk operations for PKD and they have a certain limitation, cysts can be shrunk safely by other methods. > Treatment Options > Operations


What are the major approaches for Polycystic Kidney Disease?

In western medicines, three approaches including alcohol cyst sclerotherapy (puncture sclerotherapy operation), renal cyst decortications or even nephrectomy will be used to treat PKD.

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What is alcohol cyst sclerotherapy?

As a sclerosant, minocycline hydrochlorid solution (10mg/dl) was used. This solution is instilled into the cysts under guidance of ultrasound. By this way, not just relieve pain or suffering of PKD patients and deal with big cysts.

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Is alcohol cyst sclerotherapy suitable for every patient with Polycystic Kidney Disease?

Not really. This kind of therapy is only suitable for those with cysts large than 5mm. for patients whose cysts are less than 5mm or the cysts grow beside renal pelvis, renal sclerotherapy is not recommended.

What should we do after getting renal sclerotherapy done?

Renal volume is calculated before therapy and at 6-month intervals thereafter. Besides, renal function and blood pressure should be regularly monitored.

The patients should get some bed rest for 2-3 weeks after surgery. Antibiotics might be needed to prevent infection from attacking.

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What is laparoscopic de-roofing?

Laparoscopic de-roofing, also known as laparoscopic renal cyst decortications, is adopted in western medicine. This therapy is removing cover of large cysts and thus draining sacs. The laparoscopic approach is done using scopes through 3 to 5 small incisions.

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What to do before laparoscopic renal cyst decortications?

Enema might be needed before the surgery. Emptying stool from your bowel is what enema usually does. Ask your dietitian for detailed meal plan before taking this non-invasive therapy.

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What to do after this laparoscopic renal cyst decortication?

PKD patients may have pain in the area for 2-4 weeks. Painkillers will be delivered so as to reduce the ache.

Patients are able to walk after surgery because this is very important for the recovery. Usually, the patients would be asked to stay in hospital for about 2-4 days after taking renal cyst decortications.


Nephrectomy is also known as kidney removal. A general anesthetic will be needed and the patients have to sleep for the whole operation.

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What should the patients do before nephrectomy?

Stopping smoking and try to control your body weight is what the patients need to do before surgery. Talk with the doctor if any kind of problems you have, such as heart disease, high blood pressure or lung problems.

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What need to do after nephrectomy is taken?

Taking bed rest for two or three times a day since the patients may feel very tired. 12 weeks will be enough for those patients to recover.

Possible complications you need to know

Chest infection

Aches or twinges

Numb patches



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