Comparison of Ethanol and Sodium Tetradecyl Sulfate in the Sclerotherapy of Renal Cyst

Demir, Erkan; Alan, Cabir; Kilciler, Mete; Bedir, Selahattin

doi:10.1089/end.2006.0462

Cited by 27 publications

(38 citation statements)

References 15 publications

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“…Only a very small subset of patients with renal cysts needs surgical intervention. The treatment indications include abdominal and/or flank pain, hematuria, hypertension, recurrent urinary infection, and obstruction in the collecting system due to compression [12,13,14,15,16]. In our series, 9 patients had recurrent cyst after percutaneous aspiration and sclerotherapy, 3 infected polycystic kidney, and 3 caliceal obstruction.…”

Section: Discussionmentioning

confidence: 87%

Simultaneous Treatment of Renal Cysts and Stones with Single-Session Retroperitoneoscopic Renal Cyst Decortication and Retroperitoneoscopy-Assisted Percutaneous Nephrolithotomy

Qiu¹,

Wang²,

Chen³

et al. 2012

Urol Int

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Introduction: To determine the safety and efficacy of single-session retroperitoneoscopic renal cyst decortication in conjunction with retroperitoneoscopy-assisted percutaneous nephrolithotomy (PCNL) for simultaneous treatment of renal cysts and stones. Patients and Methods: We enrolled 15 patients (10 men and 5 women, mean age 41 years), who underwent one-stage retroperitoneoscopic renal cyst decortication and retroperitoneoscopy-assisted PCNL between January 2008 and May 2009 for symptomatic renal cysts and concomitant large kidney stones (mean stone area 6.6 cm²). Intraoperative blood loss, duration of operation, and postoperative complications were evaluated. Median follow-up time was 22 months (range 12–26). Results: Average total operative time was 83 ± 12 min and mean duration of PCNL was 45 ± 5 min. Mean estimated blood loss was 80 ± 21 ml. A plain abdominal radiograph revealed an absence of residual stones in all cases. No cyst recurrence occurred within the follow-up period. The mean pre- and postoperative pain score was 7.3 ± 0.8 and 2.8 ± 0.6, respectively. All patients resumed ambulatory activities on the first postoperative day. No severe complications related to the procedure were encountered. Conclusion: The combined laparoscopic approach for simultaneous treatment of renal cysts and stones is safe and feasible. These results encourage further studies to determine long-term outcomes of this combined surgery.

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Section: Discussionmentioning

confidence: 87%

Simultaneous Treatment of Renal Cysts and Stones with Single-Session Retroperitoneoscopic Renal Cyst Decortication and Retroperitoneoscopy-Assisted Percutaneous Nephrolithotomy

Qiu¹,

Wang²,

Chen³

et al. 2012

Urol Int

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“…Of these, ethanol is the most widely used because it is considered to be safer and more effective than the other drugs (7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18). The present study used 99% ethanol.…”

Section: Discussionmentioning

confidence: 99%

Predictors of the Frequency of Ethanol Injections for Renal Cyst Ablation: A Preliminary Study

Kim

Cho

2018

J Korean Soc Radiol

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Purpose:To assess the factors facilitating the prediction of the frequency of ethanol injections in successful renal cyst ablation. Materials and Methods:We retrospectively reviewed the computed tomography and ultrasonography scans of 37 renal cysts. Two radiologists evaluated the characteristics of the presenting renal cysts, including size, calcification, septation, and lobulated configuration. Patients were divided into an "above-four" group and "below-three" group, according to the number of ethanol injections. Results: Among the 37 renal cysts, six belonged to the "above-four" group and 31 to the "below-three" group. The mean volume of "above-four" group was 409.48 cc and that of the other group was 301.64 cc. Seven renal cysts included three belonging to the "above-four" group, which showed calcification. Twelve renal cysts presented a multilocular appearance with thin septa, and included a cyst classified under the "above-four" group. Three renal cysts had lobulated configuration, with one of them belonging to the "above-four" group. Conclusion: No significant correlation was found among the different factors in the prediction of the frequency of renal cyst ablation. However, calcification was the most useful parameter for prediction of the number of renal cyst ablations needed.

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“…For persistent sterile collections such as cysts, lymphoceles, and seromas, several reports describe high rates of success in shortening the period of catheterization by intracavitary instillation of sclerotherapy agents, such as ethanol or tetradecyl sulfate [30]. For cases of fistulization of the abscess cavity to enteric, biliary, genitourinary, pancreatic, or bronchial systems, PCD may be successful with prolonged catheterization [31,32].…”

Section: Complex/refractory Collections (See Variant 2)mentioning

confidence: 99%

ACR Appropriateness Criteria Radiologic Management of Infected Fluid Collections

Lorenz¹,

Al‐Refaie²,

Cash³

et al. 2015

Journal of the American College of Radiology

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Comparison of Ethanol and Sodium Tetradecyl Sulfate in the Sclerotherapy of Renal Cyst

Abstract: Ethanol and STDS are simple, noninvasive, cost-effective, and well-tolerated sclerosants for the treatment of simple renal cysts. We prefer STDS as a first choice because it causes less pain.

Cited by 27 publications

References 15 publications

Simultaneous Treatment of Renal Cysts and Stones with Single-Session Retroperitoneoscopic Renal Cyst Decortication and Retroperitoneoscopy-Assisted Percutaneous Nephrolithotomy

Simultaneous Treatment of Renal Cysts and Stones with Single-Session Retroperitoneoscopic Renal Cyst Decortication and Retroperitoneoscopy-Assisted Percutaneous Nephrolithotomy

Predictors of the Frequency of Ethanol Injections for Renal Cyst Ablation: A Preliminary Study

ACR Appropriateness Criteria Radiologic Management of Infected Fluid Collections

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