Effect of Percutaneous Aspiration with Sclerotherapy of the Simple Renal Cyst.
- Author:
Hyun Hag KIM
1
;
Kyung Dai MIN
;
Dong Deuk KWON
;
Bong Ryoul OH
;
Yang Il PARK
Author Information
1. Department of Urology, Chonnam National University Medical School, Gwangju, Korea. yipark@chonnam.ac.kr
- Publication Type:Original Article
- Keywords:
Renal cyst;
Percutaneous aspiration;
Sclerotherapy
- MeSH:
Ethanol;
Flank Pain;
Humans;
Minocycline;
Recurrence;
Sclerotherapy*;
Ultrasonography
- From:Korean Journal of Urology
2002;43(1):23-27
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Recently, a percutaneous aspiration with sclerotherapy has become the treatment of choice for the symptomatic, large, and simple renal cyst because of its minimal invasiveness and high effectiveness. The recurrence rate of a percutaneous aspiration only, was reported to range from 30 to 70%. This study was performed to evaluate the effects of percutaneous aspiration with sclerotherapy. MATERIALS AND METHODS: The results of the treatment in 36 cases of simple renal cysts from October 1993 to December 1999 were evaluated. The symptoms associated with simple renal cysts were: flank pain or discomfort (50%), none (47.2%) and a palpable mass (2.8%). The simple renal cysts were treated with a percutaneous aspiration only in 6 cases, a percutaneous aspiration with sclerotherapy using 99% ethanol in 21 cases or a 10% minocycline solution in 9 cases. All patients were followed up by ultrasound for 6 to 56 months (mean 18 months). RESULTS: Complete collapse, and partial collapse rate of the renal cysts were 1/6 (16.7%), 2/6 (33.3%) in the aspiration only group, 6/21 (28.6%), 14/21 (66.7%) in the 99% ethanol group and 3/9 (33.3%), 4/9 (44.4%) in the 10% minocycline solution group, respectively. CONCLUSIONS: Therefore, a percutaneous aspiration with sclerotherapy using either 99% ethanol or 10% minocycline solution appears to be an effective way to the prevent re-accumulation of cystic fluid. However, the success rates in the percutaneous aspiration with sclerotherapy using 99% ethanol and 10% minocycline solution were not significantly different.
