Treatment for Multiple Bilateral Renal Calculi and Renal Cysts
Disease description:
Since last year, I have been experiencing pain in both sides of my lower back. In the past six months, the pain has become more severe. After going to the hospital for an examination, I was diagnosed with multiple bilateral kidney stones. Could you please tell me what is the treatment for multiple bilateral kidney stones and renal cysts?
Doctor's answer (1)
Dr. Yang Ziqi
The treatment for multiple bilateral kidney stones with renal cysts should comprehensively consider multiple factors, including medication, surgical intervention, and lifestyle modifications.
1. **Medical treatment**: Diuretics may be used to facilitate stone passage, and anti-infective agents can control infections. For small, asymptomatic cysts, regular follow-up is recommended without specific intervention.
2. **Surgical treatment**:
- Extracorporeal shock wave lithotripsy (ESWL), suitable for stones smaller than 2 cm in diameter, can be performed on an outpatient basis without hospitalization.
- Percutaneous nephrolithotomy (PCNL), used for larger or multiple kidney stones, is a minimally invasive procedure with rapid postoperative recovery.
- Cyst decortication and decompression, involving removal of the cyst's upper wall to relieve internal pressure, is recommended for cysts causing symptoms such as pain or infection.
3. **Lifestyle modifications**: Maintain adequate hydration to promote stone passage; limit intake of high-salt, high-protein, and high-purine foods to reduce the burden on the kidneys.
