Bilateral parapelvic renal cysts
किडनी सिस्ट ( kidney cyst ) क्या है
In selected patients, determine the safety, feasibility, and efficacy of treating parapelvic renal cysts and stones with versatile ureterorenoscopy and a novel four-step cyst localization strategy.
We looked back at 11 cases of parapelvic renal cysts with concomitant calculi that were treated with flexible ureterorenoscopy and laser lithotripsy (FURSL). Marsupialization was then conducted in our facility using a holmium: YAG laser. Renal stones were managed using fragmentation, and marsupialization was accomplished using a novel four-step cyst localization technique in each case.
There were no complications during the procedure. Following surgery, two cases of cystitis were registered. The average FURSL and marsupialization operative times were 23.6 3.9 minutes and 29.1 9.7 minutes, respectively. Seven patients received the first two steps of the new technique during marsupialization, two patients received the third step, and two patients received all four steps. Hemoglobin levels were reduced by 4.7 1.7 g/L on average (range 3-8 g/L). The average duration of stay in the hospital was 1.20.4 days. All cases remained stone-free and there was no stone recurrence over an average follow-up period of 18 months. In eight cases, parapelvic cysts were undetectable, and in three cases, the size of the cysts was reduced by at least half.
Dr. etv | kidney cyst | 26th may 2018 | డాక్టర్
The parapelvic renal cyst is a fairly common finding on routine urological inspection, but it only requires treatment in a small percentage of cases. We looked at all parapelvic renal cyst patients who visited our department between April 1998 and December 2004 to see if they had a chance of being cancerous.
In our Department, a total of 73 patients were diagnosed with parapelvic renal cysts using ultrasonography in conjunction with computed tomography and/or drip infusion urography. Suspicion of hydronephrosis in 15 cases, flank and/or back pain in 15, and macroscopic hematuria and/or occult blood urine in 12 cases led to the diagnosis.
Three patients were diagnosed with renal pelvic cancer and one with ureteral cancer. In each of these four cases, a nephro-ureterectomy was performed. Ten patients with renal stones were treated with extracorporeal shock wave lithotripsy and one pyelonephrolithotomy. A third had a parapelvic renal cyst puncture, which was done to protect renal function or relieve symptoms. The remaining three cases were asymptomatic and were diagnosed following regular tests. They were simply checked up on, much like the other 59 cases that did not have stones or cancer.
Laparoscopic renal cyst removal surgery | kidney cyst
Renal cysts are fluid-filled sacs that grow in the kidneys. They’re commonly referred to as “tiny” cysts because they have a thin wall and contain a watery fluid. Renal cysts become more common as people get older, and they typically cause no symptoms or damage.
Renal cysts are most often discovered during imaging studies conducted for other purposes because they seldom cause symptoms. Some renal cysts have a thicker wall or contain solid material instead of fluid, making them look more complex. Additional imaging scans will most likely be ordered by your doctor to track complex renal cysts and differentiate benign cysts from cancerous cysts. Abdominal or pelvic ultrasound, abdominal and pelvic CT, or body MRI are examples of these examinations. Renal cysts are normally ignored and do not need care unless they cause symptoms or interfere with kidney function. If treatment is necessary, your doctor can use sclerotherapy or surgery to remove the cyst and prevent it from recurring.
Renal cysts are fluid-filled sacs that grow in the kidneys. The majority of the time, they are simple kidney cysts, which have a thin wall and only contain water-like fluid. They’re fairly common in the elderly and don’t usually cause any symptoms or damage.
Get rid of cyst in kidney or liver by doing kapalbhati
Parapelvic cysts are a rare disease that is normally discovered during an autopsy. Their presentation on ultrasonography is close to that of hydronephrosis. We present the case of a 46-year-old woman who had been experiencing ambiguous flank pain for four years and had previously had bilateral mild hydronephrosis. Ultrasonography and a non-enhanced CT scan were used to examine the patient, and a contrast-enhanced CT scan revealed bilateral parapelvic cysts. The possibility of parapelvic cysts should be considered in any patient with hydronephrosis identified by sonography, particularly if no underlying cause is found and other routine imaging is inconsistent with hydronephrosis. A CT scan with contrast enhancement should not be refused in these situations, and depending on sonographic signs previously described in the literature may be misleading.
a brief introduction
In around 1.25–1.50 percent of autopsy cases, parapelvic cysts are discovered . They are not found within the renal parenchyma, unlike simple renal cysts. They are found on, or most likely originate in, the kidney’s hilus, which is near to the pelvis and major calyces . They’re thought to have a lymphatic basis and may be congenital . Their appearance on an intravenous urogram (IVU) resembles renal sinus lipomatosis, and their sonographic appearance resembles hydronephrosis. In ultrasound imaging, several signs have previously been identified to help distinguish these cysts from hydronephrosis. We present a case of bilateral parapelvic cysts that could not be diagnosed using traditional sonographic criteria. Presentation of a case A 46-year-old woman was referred to our center by her urologist for further evaluation after experiencing mild bilateral hydronephrosis for four years. The patient complained of nagging pain in his flanks. She had a regular IVU report but multiple sonographies suggesting bilateral hydronephrosis, according to her medical records. Her previous physician referred her to us in order to get to the bottom of this obvious inconsistency. There were no positive findings relating to her history during the physical test. Dilated pelvises were discovered during a kidney sonography (Figure 1). We suspected parapelvic cysts based on her experience, but sonography did not reveal them, and indirect symptoms such as the “convexity sign” did not help us distinguish. 1st Figure