What should I do about liver cysts and kidney cysts?

Apr 19, 2023 Source: Cainiu Health
Dr. Jin Zhongkui
Introduction
Hepatic cysts and renal cysts are two distinct conditions. Hepatic cysts can be treated with medications, cyst puncture, or cyst fenestration, while renal cysts may be managed through regular follow-up, medications, or laparoscopic cyst decortication. In addition to these approaches, hepatic cysts may require hepatic lobectomy, whereas renal cysts might necessitate nephrectomy. Regular follow-up examinations are recommended during the recovery period.

  Hepatic cysts and renal cysts are two distinct conditions. Hepatic cysts can be treated with medications, cyst puncture, or cyst fenestration, while renal cysts may be managed through regular follow-up, medications, or laparoscopic cyst decortication.

  I. Hepatic Cysts

  1. Medication Therapy

  In some patients, the condition is caused by parasitic infection. In such cases, consult a physician for treatment with medications such as levamisole hydrochloride tablets, miconazole nitrate suppositories, or albendazole tablets to control disease progression with appropriate symptomatic drug use.

  2. Cyst Puncture

  If medication proves ineffective and symptoms continue to worsen, cyst puncture under ultrasound guidance can be performed to promptly alleviate symptoms such as right upper abdominal pain and bloating.

  3. Cyst Fenestration

  For patients with large hepatic cysts complicated by infection or intracystic hemorrhage, fenestration surgery may be performed. A drainage tube is placed postoperatively and removed once the drainage fluid becomes clear.

  II. Renal Cysts

  1. Regular Follow-Up

  For patients with cysts smaller than 4 cm and no signs of calyceal or pelvic compression, specific treatment may not be necessary. However, close monitoring with regular ultrasound examinations is recommended.

  2. Medication Therapy

  Renal cysts may cause symptoms such as flank or abdominal pain and microscopic hematuria. After onset, follow medical advice to take medications such as amoxicillin capsules, enalapril maleate tablets, or torasemide tablets to properly manage discomfort.

  3. Laparoscopic Cyst Decortication

  For larger renal cysts complicated by infection or suspected malignancy, cyst decortication may be performed under medical guidance, with favorable postoperative outcomes.

  Besides the above methods, hepatic cysts may also be treated with hepatic lobectomy, while renal cysts may require nephrectomy. Regular follow-up visits are essential during recovery.

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