Percutaneous Sclerotherapy with Aethoxysklerol in the Treatment of Simple Renal Cyst: A Five-Year Experience of a Single Institution
Objective To evaluate the efficacy and safety of sclerotherapy using aethoxysklerol in the outpatient treatment of simple renal cysts. Materials and Methods Between 2008 and 2013, 86 symptomatic patients (44 men, 42 women) with 89 simple renal cysts with a diameter larger than 5 cm on ultrasonogr...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Galenos Yayinevi
2015-12-01
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| Series: | Journal of Urological Surgery |
| Subjects: | |
| Online Access: | http://jurolsurgery.org/article_10103/Percutaneous-Sclerotherapy-With-Aethoxysklerol-In-The-Treatment-Of-Simple-Renal-Cyst-A-Five-year-Experience-Of-A-Single-Institution |
| _version_ | 1828016867364569088 |
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| author | Tarık Yonguç Volkan Şen Tansu Değirmenci İbrahim Halil Bozkurt Serkan Yarımoğlu Zafer Kozacıoğlu Özgü Aydoğdu Bülent Günlüsoy |
| author_facet | Tarık Yonguç Volkan Şen Tansu Değirmenci İbrahim Halil Bozkurt Serkan Yarımoğlu Zafer Kozacıoğlu Özgü Aydoğdu Bülent Günlüsoy |
| author_sort | Tarık Yonguç |
| collection | DOAJ |
| description | Objective
To evaluate the efficacy and safety of sclerotherapy using aethoxysklerol in the outpatient treatment of simple renal cysts.
Materials and Methods
Between 2008 and 2013, 86 symptomatic patients (44 men, 42 women) with 89 simple renal cysts with a diameter larger than 5 cm on ultrasonography (US) or computed tomography were documented in the study. Initial cyst puncture was done with an 18G needle under US guidance with the patient in the prone position. At the end of the aspiration, 2 ml of 1% aethoxysklerol was injected into the cystic cavity per 100 ml of cystic fluid aspirated. Success rate was evaluated as complete or partial; >90% reduction or 50-90% reduction in cyst size, respectively. Failure was defined as <50% reduction in cyst size.
Results
The rate of complete success was 45%, partial success 20.2%, and failure was 34.8%. When we compared the success rate of aethoxysklerol sclerotherapy according to cyst localization and size, we observed that the success rates in lower pole cysts measuring >10 cm and between 7.5-10 cm in diameter were significantly higher than that in upper pole cysts in same sizes (p=0.009 and p=0.018, respectively). When the success rate of sclerotherapy was assessed according to the cyst sizes, the success rates and cyst sizes were inversely proportional (p=0.01).
Conclusion
Sclerotherapy with aethoxysklerol is a reliable, cost-effective, minimally invasive, and effective method for the treatment of simple renal cysts. |
| first_indexed | 2024-04-10T10:40:12Z |
| format | Article |
| id | doaj.art-9045ef6c2140469daef1bfd805d226f6 |
| institution | Directory Open Access Journal |
| issn | 2148-9580 |
| language | English |
| last_indexed | 2024-04-10T10:40:12Z |
| publishDate | 2015-12-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Journal of Urological Surgery |
| spelling | doaj.art-9045ef6c2140469daef1bfd805d226f62023-02-15T16:20:36ZengGalenos YayineviJournal of Urological Surgery2148-95802015-12-012417918310.4274/jus.394Percutaneous Sclerotherapy with Aethoxysklerol in the Treatment of Simple Renal Cyst: A Five-Year Experience of a Single InstitutionTarık Yonguç0Volkan Şen1Tansu Değirmenci2İbrahim Halil Bozkurt3Serkan Yarımoğlu4Zafer Kozacıoğlu5Özgü Aydoğdu6Bülent Günlüsoy7İzmir Bozyaka Training and Research Hospital, Clinic of Urology, İzmir, Turkeyİzmir Bozyaka Training and Research Hospital, Clinic of Urology, İzmir, Turkeyİzmir Bozyaka Training and Research Hospital, Clinic of Urology, İzmir, Turkeyİzmir Bozyaka Training and Research Hospital, Clinic of Urology, İzmir, Turkeyİzmir Bozyaka Training and Research Hospital, Clinic of Urology, İzmir, Turkeyİzmir Bozyaka Training and Research Hospital, Clinic of Urology, İzmir, Turkeyİzmir Bozyaka Training and Research Hospital, Clinic of Urology, İzmir, Turkeyİzmir Bozyaka Training and Research Hospital, Clinic of Urology, İzmir, TurkeyObjective To evaluate the efficacy and safety of sclerotherapy using aethoxysklerol in the outpatient treatment of simple renal cysts. Materials and Methods Between 2008 and 2013, 86 symptomatic patients (44 men, 42 women) with 89 simple renal cysts with a diameter larger than 5 cm on ultrasonography (US) or computed tomography were documented in the study. Initial cyst puncture was done with an 18G needle under US guidance with the patient in the prone position. At the end of the aspiration, 2 ml of 1% aethoxysklerol was injected into the cystic cavity per 100 ml of cystic fluid aspirated. Success rate was evaluated as complete or partial; >90% reduction or 50-90% reduction in cyst size, respectively. Failure was defined as <50% reduction in cyst size. Results The rate of complete success was 45%, partial success 20.2%, and failure was 34.8%. When we compared the success rate of aethoxysklerol sclerotherapy according to cyst localization and size, we observed that the success rates in lower pole cysts measuring >10 cm and between 7.5-10 cm in diameter were significantly higher than that in upper pole cysts in same sizes (p=0.009 and p=0.018, respectively). When the success rate of sclerotherapy was assessed according to the cyst sizes, the success rates and cyst sizes were inversely proportional (p=0.01). Conclusion Sclerotherapy with aethoxysklerol is a reliable, cost-effective, minimally invasive, and effective method for the treatment of simple renal cysts.http://jurolsurgery.org/article_10103/Percutaneous-Sclerotherapy-With-Aethoxysklerol-In-The-Treatment-Of-Simple-Renal-Cyst-A-Five-year-Experience-Of-A-Single-InstitutionAethoxysclerolminimally invasiverenal cystpercutaneous sclerotherapyultrasound-guided |
| spellingShingle | Tarık Yonguç Volkan Şen Tansu Değirmenci İbrahim Halil Bozkurt Serkan Yarımoğlu Zafer Kozacıoğlu Özgü Aydoğdu Bülent Günlüsoy Percutaneous Sclerotherapy with Aethoxysklerol in the Treatment of Simple Renal Cyst: A Five-Year Experience of a Single Institution Journal of Urological Surgery Aethoxysclerol minimally invasive renal cyst percutaneous sclerotherapy ultrasound-guided |
| title | Percutaneous Sclerotherapy with Aethoxysklerol in the Treatment of Simple Renal Cyst: A Five-Year Experience of a Single Institution |
| title_full | Percutaneous Sclerotherapy with Aethoxysklerol in the Treatment of Simple Renal Cyst: A Five-Year Experience of a Single Institution |
| title_fullStr | Percutaneous Sclerotherapy with Aethoxysklerol in the Treatment of Simple Renal Cyst: A Five-Year Experience of a Single Institution |
| title_full_unstemmed | Percutaneous Sclerotherapy with Aethoxysklerol in the Treatment of Simple Renal Cyst: A Five-Year Experience of a Single Institution |
| title_short | Percutaneous Sclerotherapy with Aethoxysklerol in the Treatment of Simple Renal Cyst: A Five-Year Experience of a Single Institution |
| title_sort | percutaneous sclerotherapy with aethoxysklerol in the treatment of simple renal cyst a five year experience of a single institution |
| topic | Aethoxysclerol minimally invasive renal cyst percutaneous sclerotherapy ultrasound-guided |
| url | http://jurolsurgery.org/article_10103/Percutaneous-Sclerotherapy-With-Aethoxysklerol-In-The-Treatment-Of-Simple-Renal-Cyst-A-Five-year-Experience-Of-A-Single-Institution |
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