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KMID : 0358319960370090986
Korean Journal of Urology
1996 Volume.37 No. 9 p.986 ~ p.989
Effect of Percutaneous Aspiration and Repeated Sclerotherapy of the Simple Renal Cyst
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Abstract
Recently the percutaneous aspiration and sclerotherapy has-become the most advocated procedure for the symptomatic, large, and simple renal cyst because of its minimal invasiveness and high effectiveness. But the recurrence rate of the simple
aspiration
and sclerothery was reported highly (30-70%). We analysed the effect of percutaneous aspiration and repeated sclerotherapy of the renal cyst in 42 patients from Nov. 1989 to Apr. 1995.
Sclerosing agent were 99% ethanol in 33 cases, minocycline in 4 cases, and only aspiration was done in 6 cases. The method of repeated sclerotherapy was achieved about 2.2 times as which aspiration and instillation of sclerosing agent in stending
of 8.3
Fr. pigtail catheter during average 2.5 days. After follow up for 17.4 (6-69) months, the complete rate of the renal cyst was 78.7% in the using group of 99% ethanol, 25% in minocycline, 16.6% in the aspiration only. The complete collapse rate
according
to the times of sclerotherapy was 45.5% in one times, 78.6% in two times, 92% in three times.
In conclusion, the sclerotherapy of the simple renal cyst with 99% ethanol was most effective, and we can be expect that the of complete collapse has been increased in the repeated sclerotherapy .
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