Surgical management of painful polycystic kidneys

Am J Kidney Dis. 1993 Oct;22(4):532-7. doi: 10.1016/s0272-6386(12)80925-5.


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.

Publication types

  • Case Reports

MeSH terms

  • Abdominal Pain / etiology
  • Abdominal Pain / surgery*
  • Female
  • Humans
  • Laparoscopy
  • Middle Aged
  • Polycystic Kidney Diseases / complications
  • Polycystic Kidney Diseases / diagnostic imaging
  • Polycystic Kidney Diseases / surgery*
  • Tomography, X-Ray Computed
  • Ultrasonography