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Do congenital kidney cysts need surgery?

I am 54 years old. During a routine health check-up, an abdominal ultrasound revealed a congenital kidney cyst, which has now grown into 3 tiny cysts with calcifications on the cyst walls and no water retention. Doctor, can you tell me how to treat my condition with medication or surgery, and what to watch out for? Thank you, doctor.

Báo Đồng NaiBáo Đồng Nai29/03/2025

(Mr. Vu Dinh Hai, residing in Trang Bom district)

Doctor replied:

Hello!

Congenital polycystic kidney disease is not a very dangerous disease. Currently, this disease is only treated with support, drugs to slow the progression of renal cysts have not really proven to be effective and treatment is only considered when there are problems such as renal cyst hemorrhage, renal cyst infection by surgical intervention is very rare, about 1-5%.

Your condition requires regular monitoring every 6 months to assess the progression of the renal cysts and promptly detect any abnormal internal structures. In addition, it should be noted that congenital polycystic kidney disease, an autosomal dominant gene, accounts for about 5% of patients with end-stage chronic kidney disease.

Therefore, you need to monitor kidney function and proteinuria every year and possibly shorter if there are abnormalities to detect early and promptly treat complications of kidney failure.

Hello!

Specialist Doctor 1 Dang Hoang Hai,

Department of Hemodialysis - Artificial Kidney, Dong Nai General Hospital

Source: https://baodongnai.com.vn/alo--bac-si-oi/202503/nang-than-bam-sinh-co-can-mo-khong-2897b84/


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