title: Management of renal cysts.
abstract: OBJECTIVE
  Renal cysts have a high prevalence in the general population, and their estimated incidence increases with age. Renal cyst aspiration (usually with sclerotherapy) or open/laparoscopic decortication is a generally effective and safe method in the treatment of symptomatic simple renal cysts. The success rates of laparoscopic decortication and percutaneous aspiration-sclerotherapy were compared to assist in the decision making for the procedure.
  
  
  METHODS
  A total of 184 patients with symptomatic simple renal cysts were treated with either laparoscopic decortication in 149 cases or percutaneous aspiration-sclerotherapy in 35 cases. The follow-up period was approximately 35 months, and the symptomatic and radiologic success rates of the 2 techniques were compared retrospectively.
  
  
  RESULTS
  Laparoscopic decortication was found to have high success rates, a low recurrence rate, and minimal morbidity. Percutaneous aspiration-sclerotherapy is an outpatient procedure with a minimally higher recurrence rate.
  
  
  CONCLUSIONS
  When a symptomatic cyst is encountered and treatment of the cyst is indicated, laparoscopic decortication is a more efficient method that offers better results than percutaneous aspiration-sclerotherapy.
authors.affiliation: Department of Urology, Abdurrahman Yurtaslan Oncology Education and Research Hospital, Ministry of Health, Ankara, Turkey.
authors.forename: Okan
authors.initials: O
authors.lastname: Bas
authors.affiliation: Department of Urology, Yenimahalle State Hospital, Ministry of Health, Ankara, Turkey.
authors.forename: Ismail
authors.initials: I
authors.lastname: Nalbant
authors.affiliation: Department of Urology, Numune Education and Research Hospital, Ministry of Health, Adana, Turkey.
authors.forename: Nevzat
authors.initials: N
authors.lastname: Can Sener
authors.affiliation: Department of Radiology, Diskapi Yildirim Beyazid Education and Research Hospital, Ministry of Health, Ankara, Turkey.
authors.forename: Hacer
authors.initials: H
authors.lastname: Firat
authors.affiliation: Department of Urology, Gazi University School of Medicine, Ankara, Turkey.
authors.forename: Süleyman
authors.initials: S
authors.lastname: Yeşil
authors.affiliation: Department of Urology, Bozok University School of Medicine, Yozgat, Turkey.
authors.forename: Kürşad
authors.initials: K
authors.lastname: Zengin
authors.affiliation: Department of Urology, Diskapi Yildirim Beyazid Education and Research Hospital, Ministry of Health, Ankara, Turkey.
authors.forename: Fatih
authors.initials: F
authors.lastname: Yalcınkaya
authors.affiliation: Department of Urology, Diskapi Yildirim Beyazid Education and Research Hospital, Ministry of Health, Ankara, Turkey.
authors.forename: Abdurrahim
authors.initials: A
authors.lastname: Imamoglu
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D052177:Kidney Diseases, Cystic / Q000628:therapy*; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D015911:Sclerotherapy; D016896:Treatment Outcome; D055815:Young Adult
keywords: Laparoscopy; Renal cyst; Sclerotherapy
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