title: Long-term functional results of aspiration and sclerotherapy with ethanol in patients with autosomal dominant polycystic kidney disease: a non-randomized pilot clinical study.
abstract: OBJECTIVE
  To evaluate the long-term effect of aspiration and sclerotherapy treatment on the pain control, blood pressure regulation, and quality of life (QoL) in patients with autosomal dominant polycystic disease (ADPKD).
  
  
  METHODS
  Twenty-five ADPKD patients with a total of 32 dominant cysts were treated with ultrasound guidance percutaneous aspiration and 96% ethanol injection, between 2002 and 2014. Twenty-one dominant cysts of 16 patients who had a minimum of 10-year follow-up were included in this study. The level of pain [visual analog score (VAS)], narcotic usage, blood pressure and serum creatinine level, QoL questionnaire, and radiological dominant cyst size was evaluated before and after procedure, retrospectively.
  
  
  RESULTS
  The mean dominant cyst size was even smaller after follow-up of 10 years. Mean dominant cyst size was 7.2 ± 2.3 cm before the procedure and 0.9 ± 0.9 and 3.3 ± 1.2 cm after the one- and 10-year follow-ups, respectively (p < 0.05). VAS and QoL scores were improved after 10 years of follow-up. There was no relation between cyst size and VAS score as well as QoL questionnaire score. End-stage renal disease occurred in 50%, and there was no significant improvement in blood pressure of these patients.
  
  
  CONCLUSIONS
  Aspiration and sclerotherapy with ethanol is a minimal-invasive, safe, and inexpensive outpatient treatment method with acceptable short- and long-term results in ADPKD patients. Aspiration and sclerotherapy with ethanol can be an option for patients with ADPKD.
authors.affiliation: Clinic of Urology, Ümraniye Training and Research Hospital, Adem Yavuz cd. No. 1, 34766, Istanbul, Turkey. eyupveli@gmail.com.
authors.forename: Eyüp Veli
authors.initials: EV
authors.lastname: Küçük
authors.affiliation: Clinic of Urology, Ümraniye Training and Research Hospital, Adem Yavuz cd. No. 1, 34766, Istanbul, Turkey.
authors.forename: Ahmet
authors.initials: A
authors.lastname: Tahra
authors.affiliation: Clinic of Urology, Ümraniye Training and Research Hospital, Adem Yavuz cd. No. 1, 34766, Istanbul, Turkey.
authors.forename: Ahmet
authors.initials: A
authors.lastname: Bindayi
authors.affiliation: Clinic of Urology, Ümraniye Training and Research Hospital, Adem Yavuz cd. No. 1, 34766, Istanbul, Turkey.
authors.forename: Ferhat Yakup
authors.initials: FY
authors.lastname: Suçeken
authors.affiliation: Clinic of Urology, Ümraniye Training and Research Hospital, Adem Yavuz cd. No. 1, 34766, Istanbul, Turkey.
authors.forename: Fikret Fatih
authors.initials: FF
authors.lastname: Önol
authors.affiliation: Clinic of Urology, Ümraniye Training and Research Hospital, Adem Yavuz cd. No. 1, 34766, Istanbul, Turkey.
authors.forename: Uğur
authors.initials: U
authors.lastname: Boylu
mesh_terms: D000328:Adult; D001794:Blood Pressure / Q000502:physiology; D003404:Creatinine / Q000097:blood; D000431:Ethanol / Q000494:pharmacology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010865:Pilot Projects; D016891:Polycystic Kidney, Autosomal Dominant / Q000097:blood / Q000503:physiopathology / Q000628:therapy*; D011788:Quality of Life; D012189:Retrospective Studies; D015911:Sclerotherapy / Q000379:methods*; D013396:Suction / Q000379:methods*; D013997:Time Factors; D016896:Treatment Outcome
chemical_list: D000431:Ethanol; D003404:Creatinine
keywords: Aspiration and sclerotherapy; Autosomal dominant polycystic kidney disease; Ethanol; Quality of life