Ahmed Eissa1,2, Ahmed El Sherbiny1,2, Eugenio Martorana2, Giacomo M Pirola2, Stefano Puliatti2, Michele Scialpi3, Salvatore Micali2, Bernardo Rocco4, Evangelos Liatsikos5, Alberto Breda6, Francesco Porpiglia7, Giampaolo Bianchi2. 1. Department of Urology, Faculty of Medicine, Tanta University, Tanta, Egypt. 2. Department of Urology, University of Modena and Reggio Emilia, Modena, Italy. 3. Division of Radiology 2, Department of Surgical and Biomedical Sciences, Perugia University, Perugia, Italy. 4. Department of Urology, University of Modena and Reggio Emilia, Modena, Italy - Bernardo.rocco@gmail.com. 5. Department of Urology, University of Patras, Patras, Greece. 6. Department of Urology, Puigvert Foundation, Autonoma University of Barcelona, Barcelona, Spain. 7. Division of Urology, Department of Oncology, San Luigi Gonzaga Hospital, University of Turin, Turin, Italy.
Abstract
INTRODUCTION: Renal cysts are common findings in nearly 10% of general population. According to Bosniak classification, they are classified into simple and complex renal cysts based on their CT characteristics. The majority of simple renal cysts are asymptomatic and require no intervention. Once they become symptomatic or complicated, a non-conservative management should be considered. EVIDENCE ACQUISITION: This paper is a narrative review of existing manuscripts regarding the non-conservative management of renal cysts. To perform it a search through PubMed was carried out in January 2017. The search was conducted using the following key words: "simple renal cysts," "non-conservative management," "treatment outcomes comparison" etc. EVIDENCE SYNTHESIS: We found 1880 publications that were reviewed by 2 of our authors, and only 46 manuscripts were considered for this review. The most common treatment were investigated and compared to understand the best treatment modality in accordance with patients' and cysts' characteristics. Different treatment modalities are available for the management of simple renal cysts. Surgical exploration is a historical procedure that is no longer used. Simple aspiration without sclerotherapy has high recurrence rate (20-80%), so sclerosants agents are recommended. Ethanol is the most commonly used sclerosing agent with high efficacy up to 97%. Laparoscopy is the gold standard for management in large cysts especially in younger patients. Other techniques are described for parapelvic renal cysts like percutaneous endoscopic ablation and ureteroscopic marsupialization. CONCLUSIONS: Different factors affect the treatment decision including natural history of the cyst, presence of symptoms and/or complications and patients' choice. This literature overview shows that ethanol percutaneous sclerotherapy and laparoscopy are the most commonly reported treatment modality for simple renal cysts.
INTRODUCTION:Renal cysts are common findings in nearly 10% of general population. According to Bosniak classification, they are classified into simple and complex renal cysts based on their CT characteristics. The majority of simple renal cysts are asymptomatic and require no intervention. Once they become symptomatic or complicated, a non-conservative management should be considered. EVIDENCE ACQUISITION: This paper is a narrative review of existing manuscripts regarding the non-conservative management of renal cysts. To perform it a search through PubMed was carried out in January 2017. The search was conducted using the following key words: "simple renal cysts," "non-conservative management," "treatment outcomes comparison" etc. EVIDENCE SYNTHESIS: We found 1880 publications that were reviewed by 2 of our authors, and only 46 manuscripts were considered for this review. The most common treatment were investigated and compared to understand the best treatment modality in accordance with patients' and cysts' characteristics. Different treatment modalities are available for the management of simple renal cysts. Surgical exploration is a historical procedure that is no longer used. Simple aspiration without sclerotherapy has high recurrence rate (20-80%), so sclerosants agents are recommended. Ethanol is the most commonly used sclerosing agent with high efficacy up to 97%. Laparoscopy is the gold standard for management in large cysts especially in younger patients. Other techniques are described for parapelvic renal cysts like percutaneous endoscopic ablation and ureteroscopic marsupialization. CONCLUSIONS: Different factors affect the treatment decision including natural history of the cyst, presence of symptoms and/or complications and patients' choice. This literature overview shows that ethanol percutaneous sclerotherapy and laparoscopy are the most commonly reported treatment modality for simple renal cysts.
Authors: Michail Vagias; Guillaume Chanoit; Loretta J Bubenik-Angapen; Erin A Gibson; Hilde de Rooster; Ameet Singh; Valery F Scharf; Janet A Grimes; Mandy L Wallace; Anne Kummeling; James A Flanders; Georgios Evangelou; Ronan A Mullins Journal: BMC Vet Res Date: 2022-06-20 Impact factor: 2.792
Authors: Pietro Piazza; Artur de Oliveira Paludo; Stefano Puliatti; Giuseppe Rosiello; Rui Farinha; Marco Amato; Riccardo Schiavina; Eugenio Brunocilla; Camille Berquin; Ruben De Groote; Louis Thielman; Alexandre Mottrie; Geert De Naeyer Journal: CEN Case Rep Date: 2021-03-08