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Kidney Cysts

Lesions formed as fluid-filled sacs in the kidney that are mostly benign; rarely require surgical intervention.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Üroloji department. Book Appointment →

What is Kidney Cysts?

Kidney cysts are thin-walled fluid-filled structures within the kidney. Simple kidney cysts (Bosniak I) are the most common type and are completely benign; they are detected incidentally on ultrasonography or CT in approximately 27% of the adult population.

The Bosniak classification system categorizes kidney cysts from I to IV based on CT findings according to malignancy risk. Bosniak I-II cysts are managed with surveillance, whereas III-IV cysts may require surgery or ablation.

Autosomal dominant polycystic kidney disease (ADPKD) is a genetic disorder in which numerous cysts form in both kidneys. Over time, it can lead to kidney failure and requires joint follow-up by nephrology and urology.

Symptoms

Small simple cysts are usually asymptomatic
In large cysts, pain in the flank or lumbar region
If intracystic bleeding occurs, sudden severe pain
Hypertension (renin secretion stimulation)
Blood in the urine (cyst rupture or tumoral transformation)
Abdominal enlargement and liver cysts in ADPKD

Risk Factors

Older age
Family history of polycystic kidney disease
Chronic kidney failure and long-term dialysis
Hypertension
Tuberous sclerosis and von Hippel-Lindau syndrome

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Evaluation of a kidney cyst detected on ultrasonography or CT
  • Lumbar pain accompanied by blood in the urine
  • Follow-up planning for Bosniak II-F or higher cysts
  • Early screening in individuals with a family history of ADPKD
  • Detection of rapid growth in cyst size

Treatment Methods

01
Bosniak I-II cysts: 6-12 month ultrasonography follow-up; usually no intervention required
02
Bosniak II-F cysts: close follow-up with annual CT
03
Bosniak III cysts: laparoscopic partial nephrectomy or ablation
04
Bosniak IV cysts: high probability of malignancy; partial or radical nephrectomy
05
Percutaneous aspiration and sclerotherapy in painful large simple cysts

Which Department to Visit?

You can visit our Üroloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Üroloji Department

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You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.