How to treat a gradually enlarging right renal cyst

Jul 03, 2024 Source: Cainiu Health
Disease description:

Recently, I suddenly experienced kidney pain. After going to the hospital for examination, the doctor informed me that I have a 2-centimeter kidney cyst, and it shows signs of gradual growth. May I ask, how should it be treated?

Doctor's answer (1)
Dr. Yang Ziqi
For the condition of gradually enlarging right renal cyst, the treatment options can be summarized as follows: 1. Observation and follow-up: If the cyst is less than 4 cm in diameter and asymptomatic, regular follow-up ultrasound examinations are recommended to monitor the size and changes of the cyst. 2. Medication: If secondary infection occurs, antibiotics such as potassium penicillin V tablets may be used for anti-infective treatment. 3. Puncture treatment: If the cyst is large (greater than 5 cm in diameter) and causes urinary tract obstruction or compressive symptoms, puncture treatment may be considered. This involves draining the cyst fluid and injecting a sclerosing agent to prevent recurrence. 4. Surgical treatment: For cysts exceeding a certain size (e.g., 10 cm) or suspected malignancy, surgical removal of the cyst is recommended. Surgical options include laparoscopic minimally invasive cyst surgery. The above treatment options should be selected based on the patient's specific condition and the physician's recommendations.