What To Do With My Kidney Cyst??

Kidney cysts are round pouches of fluid that form in the kidneys. Kidney cysts can be associated with serious disorders that may impair kidney function. But more commonly, kidney cysts are a type called simple kidney cysts — non-cancerous cysts that rarely cause complications.

A Cyst in my Kidney!

It's not clear what causes simple kidney cysts. Typically, only one cyst occurs on the surface of a kidney, but multiple cysts can affect one or both kidneys. However, simple kidney cysts aren't the same as the cysts that form with polycystic kidney disease (PKD).

Simple kidney cysts are often detected during an imaging test being done for another condition. Simple kidney cysts that don't cause signs or symptoms usually don't require treatment.

Poly-cystic kidney disease (PKD)

What are simple kidney cysts?

Simple kidney cysts are abnormal, fluid-filled sacs that form in the kidneys. They are usually small oval or round thin-walled sacs with watery fluid in them. Simple kidney cysts are different from the cysts that develop when a person has PKD, which is a genetic disorder. Kidney cysts are almost always benign (not cancerous). Usually, the cysts don't cause any problems. it do not enlarge the kidneys, replace their normal structure, or cause reduced kidney function like cysts do in people with PKD. This disease can cause symptoms such as high blood pressure, pain in the back and side, blood in the urine or frequent kidney infections. Not all people who have PKD will have these symptoms.

Simple kidney cysts are more common as people age. An estimated 25 percent of people 40 years of age and 50 percent of people 50 years of age have simple kidney cysts.

What causes simple kidney cysts?

The cause of simple kidney cysts is not fully understood. Obstruction of tubules—tiny structures within the kidneys that collect urine—or deficiency of blood supply to the kidneys may play a role. Diverticula—sacs that form on the tubules—may detach and become simple kidney cysts. The role of genetic factors in the development of simple kidney cysts has not been studied.

Simple Kidney Cyst

Simple kidney cysts typically don't cause signs or symptoms. If a simple kidney cyst grows large enough, symptoms may include:

• Fever
• Dull pain in your back or side
• Upper abdominal pain

What are the symptoms of simple kidney cysts?

Simple kidney cysts usually do not cause symptoms or harm the kidneys. In some cases, however, pain can occur between the ribs and hips when cysts enlarge and press on other organs. Sometimes cysts become infected, causing fever, pain, and tenderness. Simple kidney cysts are not thought to affect kidney function, but one study found an association between the presence of cysts and reduced kidney function in hospitalized people younger than 60 years of age.1 Some studies have found a relationship between simple kidney cysts and high blood pressure. For example, high blood pressure has improved in some people after a large cyst was drained. However, this relationship is not well understood 

When to see a doctor 

Make an appointment with your doctor if you have signs or symptoms of a kidney cyst. One theory suggests that kidney cysts develop when the surface layer of the kidney weakens and forms a pouch (diverticulum). The pouch then fills with fluid, detaches and develops into a cyst. 

Consult your doctor

Kidney cysts can occasionally cause complications, including: 

• An infected cyst. A kidney cyst may become infected, causing fever and pain. 
• A burst cyst. A kidney cyst that bursts causes severe pain in your back or side. 
• Urine obstruction. A kidney cyst that obstructs the normal flow of urine may lead to swelling of the kidney (hydronephrosis). 

How are simple kidney cysts diagnosed? 

Most simple kidney cysts are found during imaging tests done for other reasons. When a cyst is found, the following imaging tests can be used to determine whether it is a simple kidney cyst or another, more serious condition. These imaging tests are performed at an outpatient center or hospital by a specially trained technician, and the images are interpreted by a radiologist—a doctor who specializes in medical imaging. Ultrasound may also be performed in a health care provider’s office. Anesthesia is not needed though light sedation may be used for people with a fear of confined spaces who undergo magnetic resonance imaging (MRI). 

Ultrasound. 

Ultrasound uses a device, called a transducer, that bounces safe, painless sound waves off organs to create an image of their structure. An abdominal ultrasound can create images of the entire urinary tract. The images can be used to distinguish harmless cysts from other problems. 

Simple Cyst found using Ultrasound

Computerized tomography (CT) scan. 

CT scans use a combination of x rays and computer technology to create three-dimensional (3-D) images. A CT scan may include the injection of a special dye, called contrast medium. CT scans require the person to lie on a table that slides into a tunnel-shaped device where the x rays are taken. CT scans can show cysts and tumors in the kidneys. 

MRI and CT Scan

Magnetic Resonance IMaging (MRI). 

MRI is a non-invasive medical test that helps physicians diagnose and treat medical conditions. It uses a powerful magnetic field, radio frequency pulses and a computer to produce detailed pictures of organs, soft tissues, bone and virtually all other internal body structures without using x rays. An MRI may include the injection of contrast medium. With most MRI machines, the person lies on a table that slides into a tunnel-shaped device that may be open ended or closed at one end; some newer machines are designed to allow the person to lie in a more open space. Like CT scans, MRIs can show cysts and tumours. 

Result of a CT

Treatments for simple kidney cysts?

If your cyst does not cause symptoms or complications, you do not need treatment. Your doctor may simply monitor with periodic ultrasounds to make sure they don't cause any problems. However, in the rare case that you have symptoms, you may need treatment. 

Simple kidney cysts that are causing symptoms or blocking the flow of blood or urine through the kidney may need to be treated using a procedure called sclerotherapy. In sclerotherapy, the doctor punctures the cyst using a long needle inserted through the skin. Ultrasound is used to guide the needle to the cyst. The cyst is drained and then filled with a solution containing alcohol to make the kidney tissue harder. The procedure is usually performed on an outpatient basis with a local anesthetic. 

Sclerotherapy

In some cases, a cyst will return and refill with fluid. Your doctor may recommend surgery that entails general anesthesia and a large incision. During the procedure, the surgeon would insert a thin, lighted viewing tube called a laparoscope and other instruments to drain the fluid from the cyst and remove or burn its outer wall to keep it from reforming.

If the cyst is large, surgery may be needed. Most surgeries can be performed using a laparoscope—a special tool with a small, lighted video camera. The procedure is usually done under general anesthesia in a hospital. The surgeon drains the cyst and then removes or burns away its outer tissue. This type of surgery allows for a smaller incision and quicker recovery. You may need to stay in the hospital for one or two days following the surgery.

You should always speak with your doctor or health care professional before you start, stop, or change any prescribed part of your health care plan or treatment and to determine what course of therapy is right for you.

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