Polycystic kidney disease surgery: Difference between revisions

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__NOTOC__
__NOTOC__
{{Polycystic kidney disease}}
{{Polycystic kidney disease}}
{{CMG}}; {{AE}}  
{{CMG}}; {{AE}} {{MKA}}


==Overview==
==Overview==
Surgical intervention is not recommended for the management of [disease name].
Surgery is not the first-line treatment option for patients with polycystic kidney disease. Surgery is usually reserved for patients with either end stage renal disease (ESRD), recurrent UTI, chronic pain, renal cell carcinoma, chronic hematuria requiring transfusions. Surgical options are either nephrectomy or renal transplant.
 
OR
 
Surgery is not the first-line treatment option for patients with [disease name]. Surgery is usually reserved for patients with either [indication 1], [indication 2], and [indication 3]
 
OR
 
The mainstay of treatment for [disease name] is medical therapy. Surgery is usually reserved for patients with either [indication 1], [indication 2], and/or [indication 3].
 
OR
 
The feasibility of surgery depends on the stage of [malignancy] at diagnosis.
 
OR
 
Surgery is the mainstay of treatment for [disease or malignancy].


==Indications==
==Indications==
 
Surgery is not the first-line treatment option for patients with polycystic kidney disease. Surgery is usually reserved for patients with either:<ref name="pmid9249781">{{cite journal |vauthors=Hadimeri H, Nordén G, Friman S, Nyberg G |title=Autosomal dominant polycystic kidney disease in a kidney transplant population |journal=Nephrol. Dial. Transplant. |volume=12 |issue=7 |pages=1431–6 |date=July 1997 |pmid=9249781 |doi= |url=}}</ref><ref name="pmid10953121">{{cite journal |vauthors=Glassman DT, Nipkow L, Bartlett ST, Jacobs SC |title=Bilateral nephrectomy with concomitant renal graft transplantation for autosomal dominant polycystic kidney disease |journal=J. Urol. |volume=164 |issue=3 Pt 1 |pages=661–4 |date=September 2000 |pmid=10953121 |doi= |url=}}</ref><ref name="pmid16280813">{{cite journal |vauthors=Fuller TF, Brennan TV, Feng S, Kang SM, Stock PG, Freise CE |title=End stage polycystic kidney disease: indications and timing of native nephrectomy relative to kidney transplantation |journal=J. Urol. |volume=174 |issue=6 |pages=2284–8 |date=December 2005 |pmid=16280813 |doi=10.1097/01.ju.0000181208.06507.aa |url=}}</ref>
*Surgical intervention is not recommended for the management of [disease name].
*End stage renal disease (ESRD)
OR
*Recurrent UTI
*Surgery is not the first-line treatment option for patients with [disease name]. Surgery is usually reserved for patients with either:
*Chronic pain
**[Indication 1]
*Renal cell carcinoma
**[Indication 2]
*Chronic hematuria requiring transfusions
**[Indication 3]
*The mainstay of treatment for [disease name] is medical therapy. Surgery is usually reserved for patients with either:
**[Indication 1]
**[Indication 2]
**[Indication 3]


==Surgery==
==Surgery==
 
*Surgical options are either nephrectomy or renal transplantation.<ref name="pmid19455193">{{cite journal |vauthors=Torres VE, Harris PC |title=Autosomal dominant polycystic kidney disease: the last 3 years |journal=Kidney Int. |volume=76 |issue=2 |pages=149–68 |date=July 2009 |pmid=19455193 |pmc=2812475 |doi=10.1038/ki.2009.128 |url=}}</ref>
*The feasibility of surgery depends on the stage of [malignancy] at diagnosis.
OR
*Surgery is the mainstay of treatment for [disease or malignancy].


==Contraindications==
==Contraindications==
*Screen for intracranial aneurysm prior to surgery<ref name="pmid17882153">{{cite journal |vauthors=Ring T, Spiegelhalter D |title=Risk of intracranial aneurysm bleeding in autosomal-dominant polycystic kidney disease |journal=Kidney Int. |volume=72 |issue=11 |pages=1400–2 |date=December 2007 |pmid=17882153 |doi=10.1038/sj.ki.5002488 |url=}}</ref>


==References==
==References==
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[[Category:Medicine]]
[[Category:Nephrology]]
[[Category:Surgery]]

Revision as of 15:44, 8 June 2018

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: M. Khurram Afzal, MD [2]

Overview

Surgery is not the first-line treatment option for patients with polycystic kidney disease. Surgery is usually reserved for patients with either end stage renal disease (ESRD), recurrent UTI, chronic pain, renal cell carcinoma, chronic hematuria requiring transfusions. Surgical options are either nephrectomy or renal transplant.

Indications

Surgery is not the first-line treatment option for patients with polycystic kidney disease. Surgery is usually reserved for patients with either:[1][2][3]

  • End stage renal disease (ESRD)
  • Recurrent UTI
  • Chronic pain
  • Renal cell carcinoma
  • Chronic hematuria requiring transfusions

Surgery

  • Surgical options are either nephrectomy or renal transplantation.[4]

Contraindications

  • Screen for intracranial aneurysm prior to surgery[5]

References

  1. Hadimeri H, Nordén G, Friman S, Nyberg G (July 1997). "Autosomal dominant polycystic kidney disease in a kidney transplant population". Nephrol. Dial. Transplant. 12 (7): 1431–6. PMID 9249781.
  2. Glassman DT, Nipkow L, Bartlett ST, Jacobs SC (September 2000). "Bilateral nephrectomy with concomitant renal graft transplantation for autosomal dominant polycystic kidney disease". J. Urol. 164 (3 Pt 1): 661–4. PMID 10953121.
  3. Fuller TF, Brennan TV, Feng S, Kang SM, Stock PG, Freise CE (December 2005). "End stage polycystic kidney disease: indications and timing of native nephrectomy relative to kidney transplantation". J. Urol. 174 (6): 2284–8. doi:10.1097/01.ju.0000181208.06507.aa. PMID 16280813.
  4. Torres VE, Harris PC (July 2009). "Autosomal dominant polycystic kidney disease: the last 3 years". Kidney Int. 76 (2): 149–68. doi:10.1038/ki.2009.128. PMC 2812475. PMID 19455193.
  5. Ring T, Spiegelhalter D (December 2007). "Risk of intracranial aneurysm bleeding in autosomal-dominant polycystic kidney disease". Kidney Int. 72 (11): 1400–2. doi:10.1038/sj.ki.5002488. PMID 17882153.

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