Titre du document / Document title

Percutaneous treatment of large symptomatic renal cysts

Auteur(s) / Author(s)

LIATSIKOS E. N. ⁽¹⁾ ; SIABLIS D. ⁽²⁾ ; KARNABATIDIS D. ⁽²⁾ ; KALOGEROPOOULOU C. ⁽²⁾ ; TRIADOPOULOS A. ⁽¹⁾ ; PETSAS T. ⁽²⁾ ; TSOTA I. ⁽²⁾ ; RAVAZOULA P. ⁽³⁾ ; BARBALIAS G. A. ⁽¹⁾ ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

⁽¹⁾ Department of Urology, University of Patras School of Medicine, Patras, GRECE
⁽²⁾ Department of Radiology, University of Patras School of Medicine, Patras, GRECE
⁽³⁾ Department of Pathology, University of Patras School of Medicine, Patras, GRECE

Résumé / Abstract

Purpose: To evaluate the efficacy of alcohol in combination with tetracycline for the treatment of symptomatic renal cysts. Patients and Methods: Twenty-four patients age 45 to 77 years (mean 66 years) with a large (5-13-cm; mean 7.5-cm) symptomatic renal cyst associated with flank pain were treated by aspiration under ultrasound guidance and injection of alcohol and tetracycline. Patients were followed with ultrasonography at 1, 6, and 12 months and once a year thereafter. Results: The aspirated volume ranged from 65 to 1500 mL (mean 360.5 mL). Two patients experienced mild pain during alcohol injection, but the procedure was completed successfully. One patient reported severe pain after tetracycline injection. The tetracycline was immediately aspirated, and the procedure was then aborted. The remaining patients were relieved of their symptoms after treatment, and they remained symptom free during a mean follow-up of 20 months (range 7-36 months). Conclusions: The combination of alcohol and tetracycline is safe and effective and offers a very favorable minimally invasive therapeutic alternative for the treatment of symptomatic renal cysts.

Revue / Journal Title

Journal of endourology   ISSN 0892-7790 

Source / Source

2000, vol. 14, n^o3, pp. 257-261 (19 ref.)

Langue / Language

Anglais

Editeur / Publisher

Liebert, New York, NY, ETATS-UNIS  (1987) (Revue)

Mots-clés anglais / English Keywords

Cyst ; Kidney ; Human ; Cohort study ; Injection ; Alcohol ; Tetracycline ; Percutaneous route ; Guidance ; Echography ; Indication ; Treatment efficiency ; Complication ; Urinary system disease ; Kidney disease ; Benign neoplasm ; Sonography ;

Mots-clés français / French Keywords

Kyste ; Rein ; Homme ; Etude cohorte ; Injection ; Alcool ; Tétracycline ; Voie percutanée ; Guidage ; Echographie ; Indication ; Efficacité traitement ; Complication ; Appareil urinaire pathologie ; Rein pathologie ; Tumeur bénigne ; Exploration ultrason ;

Mots-clés espagnols / Spanish Keywords

Quiste ; Riñón ; Hombre ; Estudio cohorte ; Inyección ; Alcohol ; Tetraciclina ; Vía percutánea ; Guiado ; Ecografía ; Indicación ; Eficacia tratamiento ; Complicación ; Aparato urinario patología ; Riñón patología ; Tumor benigno ; Exploración ultrasonido ;

Localisation / Location

INIST-CNRS, Cote INIST : 21584, 35400008228521.0060