Ethanolamine oleate vs. absolute ethanol as sclerosing agents for treating symptomatic simple renal cysts

Abstract

ObjectivesTo compare the efficacy and safety of ethanolamine oleate (EO) as a sclerosing agent, vs. absolute ethanol (AE), in the treatment of symptomatic simple renal cysts.Patients and methodsBetween November 2009 and October 2012, 46 patients were prospectively randomised into two groups. All patients presented with a simple renal cyst underwent ultrasonographic aspiration and injection of a sclerosing agent. In group 1, 25 patients had the cyst injected with EO, and in group 2, 21 were treated with AE. One injection was used in cysts of <200 mL and two injections were used in larger cysts. Complete and partial success were defined as complete cyst ablation or a >50% reduction in cyst volume with symptomatic relief, respectively. Patients were followed up using semi-annual ultrasonography and computed tomography for 2 years.ResultsSclerotherapy was technically successful in all patients. There was no significant difference in cyst volume between the groups. After ≈2 years of follow-up there was complete symptomatic relief in both groups, and the overall radiological success rate was 100% of both groups, at 79% complete and 21% partial in group 1, and 83% complete and 17% partial in group 2. The frequency of transient complications in the form of microscopic haematuria was 7% and 13%, and of low-grade fever in 4% and 10% in groups 1 and 2, respectively.ConclusionEO can replace AE as a sclerosing agent for symptomatic simple renal cysts, as it has comparable efficacy with higher safety and tolerance.

The Application of Absolute Ethanol in the Treatment of Mucocele of the Glands of Blandin–Nuhn

“…Absolute ethanol as a sclerosant proved to be safe and effective, has been applied in treatment of renal tumors, 11 cysts, 12 and vascular malformations. 13 To the best of our knowledge, there is no report about absolute ethanol injection for treating the mucocele.…”

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

“…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.…”