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What causes kidney cysts and what symptoms indicate them


  • As people age, kidney cysts can form on the surface or in the nephrons of the kidney. They can vary in size from a small pea to a large grapefruit.


Kidney cysts are usually small, round sacs that are filled with watery fluid. Most of those who have them don't know they have them. If the cyst ruptures and bleeds or grows large enough to press on other organs, treatment will be required.


Kidney cysts are usually small, round sacs that have a thin wall and are filled with a watery fluid

A cyst is a closed sac or sac filled with air or fluid. The kidneys are bean-shaped organs located in the lower back that help control the amount of salt and water in the body. They also remove waste products by filtering blood and making urine.


  • Inside the kidneys are small working parts called nephrons. Each nephron consists of a filter and a tube. As blood flows through the kidneys to be filtered, the nephrons remove extra water and waste products, which are passed out of the body as urine.


  • Simple kidney cysts are typically small, round sacs that have a thin wall and are filled with a watery fluid. As people age, cysts can form on the surface or in the nephrons of the kidney. They can be the size of a small pea to as large as a grapefruit. Cysts can grow over time.

kidney-cyst-symptoms
What causes kidney cysts and what symptoms indicate them?
Who gets simple kidney cysts?
  • Simple kidney cysts are very common as people get older — almost half of all people over the age of 50 have at least one kidney cyst. Most people have a cyst in only one kidney, but the number of cysts and the risk of developing a cyst in the other kidney increases as we age.


  • Simple kidney cysts are almost always harmless. They are called “simple” because they have very little chance of developing into something more serious. However, some cysts have thickened walls, may appear irregular on X-rays, and may be associated with kidney cancer.


  • Depending on where the cyst is located, it can affect kidney function. It can also cause one type of high blood pressure if the cyst prevents the kidney from filtering extra fluid from the blood.

How are kidney cysts diagnosed?
  • Simple kidney cysts are often found when a patient goes to the doctor for another problem. The most common tests used to diagnose simple kidney cysts are:


  • Ultrasound: High-frequency sound waves and echoes create images of the inside of the body.

  • Computed Tomography (CT): X-rays and computers provide cross-sectional images of the body.· The scan requires an injection of a contrast agent containing iodine to differentiate cysts filled only with fluid from solid masses.

  • Magnetic Resonance Imaging (MRI): Magnets, radio waves, and a computer create images of the inside of the body. They can also be used to distinguish between fluid-filled cysts and solid masses. Because it does not require iodine contrast, MRI is used for patients with iodine allergy.

Simple kidney cysts do not need to be treated?
  • In most cases, simple kidney cysts do not need to be treated. However, if the cyst is putting too much pressure on another organ or affecting the normal function of the kidney, it may be necessary to reduce or remove the cyst. There are two procedures most commonly used to treat simple kidney cysts:

  • Aspiration and sclerotherapy: The doctor inserts a long needle under the skin to puncture the cyst and drain the fluid. A strong solution is then injected into the cyst to shrink it. If necessary, this procedure can be repeated.

  • Surgery: Surgery to remove the cyst can usually be done laparoscopically, using thin instruments inserted through small openings in the abdomen. During the operation, the doctor first drains the cyst and then cuts or burns it.

Can kidney cysts be prevented?
  • Simple kidney cysts cannot be prevented. You can reduce your risk by drinking plenty of water and making sure you consume less than 2,300 mg of sodium per day (less than 1,500 mg if you're over 51, have high blood pressure or long-term kidney disease).

Should a simple renal cyst be monitored over time?
  • It is very important for a specialist to assess the type and location of a kidney cyst. There are often features—such as wall thickness, calcifications, fluid density, and irregular cyst edges—that make the cyst more likely to be related to kidney cancer. Urologists use a cyst grading system called the Bozniak scoring system (named after the physician who first described it). Higher Bozniak scores are associated with a higher chance of kidney cancer. Bozniak grade 1 cysts are almost always benign (not cancerous).


What is the outlook for someone with simple kidney cysts?
  • Because simple kidney cysts are almost always harmless, the outlook is excellent. Treatment, when necessary, is very effective and has few complications.


What are kidney cysts?
  • Kidney cysts are round or oval formations filled with clear fluid that can appear on one or both kidneys, individually or in large numbers.


  • In the case of single cysts, the cause of their occurrence is unknown, and it is assumed that the cause is blockage of the renal tubules. If it is the presence of numerous cystic formations in both kidneys, then we are talking about adult polycystic kidney disease or medullary cystic disease, i.e., juvenile nephronophthisis, and in that case.

  • The main role in the development is played by a hereditary factor, i.e., inherited or less often spontaneous gene mutations. Polycystic kidney disease is a serious disease that most typically ends in terminal kidney failure and the need for treatment with dialysis or kidney transplantation.

  • Typically, these patients have cysts on other organs as well (liver, pancreas, ovaries.) and associated anomalies of other organs.


Simple cysts (dysontogenic). Round, clearly delimited, an echoic mass localized in or on the kidney, with clear acoustic enhancement. Can be reliably identified as primary (dysontogenic) cysts if, apart from the usual criteria for a cyst, they show the absence of vascularization on color Doppler examination and there are no other cysts on the kidney. Structural abnormalities. Whether single or multiple, they represent tubular retention cysts that have resulted from dilatation of Bowman's capsule or proximal tubules. Consequently, they have a cyst wall that produces typical ultrasound input or output echoes, but cannot always be visualized directly. Primary dysontogenic cysts have a typical location.


Multiple cysts (dysontogenic). Breasts containing multiple cysts are usually normal.


  • In contrast to polycystic kidney stones, the renal cortex, medullary pyramids and renal sinus are clearly defined.


Polycystic kidneys (dysonotogenic) — This disease includes polycystic malformation of the distal renal tubules, tubular epithelium or tubular walls, leading to predominantly bilateral polycystic transformation of the kidneys.

On ultrasound, the kidneys are significantly enlarged and contain numerous cysts that completely change the contours of the renal capsule and lead to vaguely defined kidney borders. There is a variable reduction of the parenchymal due to the complication of cyst compression, the “blooming” effect and intestinal fibrosis.


Polycystic kidneys — are typically associated with cysts in the liver and other organs, and the initial ultrasound finding is unmistakable.


Atypical or secondary cysts — Atypical or secondary cysts differ from simple, uncomplicated cysts in their shape, localization, or content. They can be ellipsoidal, polygonal or united, can have a parapelvic or extrarenal localization and can contain internal echoes (thickened walls, partitions, sedimentation, flocs or clots), as well as blood vessels in malignant tumors.


Compartmentalized cyst — Renal cysts sometimes have fine septa that divide the cysts into separate compartments. Septated cysts require great care during ultrasound examination to differentiate them from cystic renal cell carcinoma. A lesion of this appearance requires monitoring and possible surgery. The differential diagnosis should include a dehydrated cyst, and in young boys, a multilocular cystic nephroma (benign cystic nephroma), which appears on ultrasound as a complex renal mass with numerous anechoic cysts separated by echoic septa.


Retention cysts — as a result of scarring. Secondary retention cysts occur in one third or one half of all patients with chronic interstitial nephritis requiring dialysis. These cysts are the result of scarring in the renal tubules. Most of these cysts are misshapen and very small, and are mostly seen in the cortex.


Hydatid cyst and dog ringworm (Echinococcus granulosus), which forms primary cysts with internal daughter cysts, and fox ringworm (Echinococcus multilocularis), in which the daughter cysts invade and destroy host tissue from the primary cyst, can cause hydatid disease in humans. The most commonly affected organ is the liver, but other places can also be affected, including the kidneys. In ultrasound, an echogenic wall limits the cysts. Daughter cysts have a rosette appearance. Echinococcus multilocularis can have the appearance of a solid tumor mass. Hydatid cysts require differentiation from septate cysts.


  • When renal cysts are found on ultrasound, we advise that the cysts be monitored for 6 to 12 months by ultrasound. In case of suspected malignant alteration of the cyst, we perform CT-urography (scanner), optional NMR-urography (magnetic resonance), if it is shown that there is a tumoral change in the cyst, then operative treatment is approached, which is all possible in medical system.


  • If you suspect kidney cysts and/or polycystic kidneys, schedule your specialist examination with a urologist.

When should you see a doctor about a kidney cyst?
  • You should see a doctor if you experience any of the above symptoms (pain in the side between the ribs and hip, stomach or back; fever; frequent urination; blood in the urine or dark urine). This could mean you have a kidney cyst that has ruptured or become infected.



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