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[Percutaneous renal cyst puncture].

Y Higashi, J Kawamura, O Yoshida

    Hinyokika Kiyo. Acta Urologica Japonica
    |July 1, 1985
    PubMed
    Summary
    This summary is machine-generated.

    Ethanol instillation after ultrasound-guided renal cyst puncture is a safe and effective treatment. This method prevents fluid recurrence and shows morphological improvement in renal cysts.

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    Area of Science:

    • Nephrology
    • Interventional Radiology
    • Urology

    Background:

    • Renal cysts can cause discomfort and complications.
    • Recurrence of cystic fluid is a common challenge after simple cyst aspiration.

    Purpose of the Study:

    • To evaluate the safety and efficacy of ultrasound-guided renal cyst puncture with 95% ethanol instillation.
    • To assess the prevention of cystic fluid recurrence and impact on renal morphology.

    Main Methods:

    • 31 renal cysts were treated with ultrasound-guided puncture.
    • 95% ethanol was instilled for 20 minutes to sclerose the cyst wall.
    • Morphological changes and renal function were assessed using IVP and Tc-99m-DMSA renal scintigraphy.

    Main Results:

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    • Complete resolution of cystic fluid was observed in all treated cysts.
    • Morphological improvement and a slight increase in DMSA renal uptake rate were noted.
    • The renal tissue surrounding the cysts remained intact.
    • Temporary side effects like hot flashes were reported in one-third of patients.

    Conclusions:

    • Ultrasound-guided renal cyst puncture with ethanol instillation is a safe and effective treatment.
    • The procedure successfully prevents cystic fluid recurrence and leads to positive morphological changes.
    • This minimally invasive technique offers a viable therapeutic option for renal cysts.