Surgical Management of Painful Polycystic Kidneys

Lawrence W. Elzinga; John M. Barry; William M. Bennett

doi:10.1016/S0272-6386(12)80925-5

Surgical Management of Painful Polycystic Kidneys

Lawrence W. Elzinga, John M. Barry, William M. Bennett

Urology

Research output: Contribution to journal › Article › peer-review

22 Scopus citations

Abstract

In patients with symptomatic PKD who have failed medical management, surgical intervention is a reasonable option, providing long-term pain relief in the majority of patients. Individuals for whom this approach is indicated are usually narcotic dependent or disabled by pain. Cyst decompression surgery does not appear to significantly retard or arrest progressive renal insufficiency. On the other hand, widespread fears that cyst decompression might hasten renal failure are clearly unfounded. The application of newer laparoscopic techniques to this problem may allow for a wider range of symptomatic patients to realize the benefits of cyst decompression.

Original language	English (US)
Pages (from-to)	532-537
Number of pages	6
Journal	American Journal of Kidney Diseases
Volume	22
Issue number	4
DOIs	https://doi.org/10.1016/S0272-6386(12)80925-5
State	Published - 1993

Keywords

Autosomal dominant polycystic kidney disease
Rovsing's procedure
chronic pain
cyst drainage
cyst marsupialization
cyst pain
laparoscopic surgery

ASJC Scopus subject areas

Nephrology

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10.1016/S0272-6386(12)80925-5

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title = "Surgical Management of Painful Polycystic Kidneys",

abstract = "In patients with symptomatic PKD who have failed medical management, surgical intervention is a reasonable option, providing long-term pain relief in the majority of patients. Individuals for whom this approach is indicated are usually narcotic dependent or disabled by pain. Cyst decompression surgery does not appear to significantly retard or arrest progressive renal insufficiency. On the other hand, widespread fears that cyst decompression might hasten renal failure are clearly unfounded. The application of newer laparoscopic techniques to this problem may allow for a wider range of symptomatic patients to realize the benefits of cyst decompression.",

keywords = "Autosomal dominant polycystic kidney disease, Rovsing's procedure, chronic pain, cyst drainage, cyst marsupialization, cyst pain, laparoscopic surgery",

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year = "1993",

doi = "10.1016/S0272-6386(12)80925-5",

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T1 - Surgical Management of Painful Polycystic Kidneys

AU - Elzinga, Lawrence W.

AU - Barry, John M.

AU - Bennett, William M.

PY - 1993

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N2 - In patients with symptomatic PKD who have failed medical management, surgical intervention is a reasonable option, providing long-term pain relief in the majority of patients. Individuals for whom this approach is indicated are usually narcotic dependent or disabled by pain. Cyst decompression surgery does not appear to significantly retard or arrest progressive renal insufficiency. On the other hand, widespread fears that cyst decompression might hasten renal failure are clearly unfounded. The application of newer laparoscopic techniques to this problem may allow for a wider range of symptomatic patients to realize the benefits of cyst decompression.

AB - In patients with symptomatic PKD who have failed medical management, surgical intervention is a reasonable option, providing long-term pain relief in the majority of patients. Individuals for whom this approach is indicated are usually narcotic dependent or disabled by pain. Cyst decompression surgery does not appear to significantly retard or arrest progressive renal insufficiency. On the other hand, widespread fears that cyst decompression might hasten renal failure are clearly unfounded. The application of newer laparoscopic techniques to this problem may allow for a wider range of symptomatic patients to realize the benefits of cyst decompression.

KW - Autosomal dominant polycystic kidney disease

KW - Rovsing's procedure

KW - chronic pain

KW - cyst drainage

KW - cyst marsupialization

KW - cyst pain

KW - laparoscopic surgery

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JO - American Journal of Kidney Diseases

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ER -

Surgical Management of Painful Polycystic Kidneys

Abstract

Keywords

ASJC Scopus subject areas

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