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University Hospital Cologne

9.8/10 from 82 Votes

The University Hospital Cologne is included in the Focus magazine rating of top German hospitals 2017 and offers patients first-class medical care meeting the latest medical advancements.

Polycystic kidney disease diagnosis
1533
Endoscopic kidney resection
7215
location_onCountry: Germany
location_searchingCity: Cologne

University Hospital of the Ludwig-Maximilians-University Munich (LMU)

9.2/10 from 40 Votes

The Hospital of the Ludwig-Maximilians-University (LMU) Munich is a center of high-end medicine, medical innovation and medical and technical progress, which enables an individual and safe patient care.

Polycystic kidney disease diagnosis
2100
Endoscopic kidney resection
10279
location_onCountry: Germany
location_searchingCity: Munich
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Academic Hospital Harlaching Munich

9.2/10 from 32 Votes

The Academic Hospital Harlaching is an emergency medical care facility offering top-class service. With about 700 beds, the hospital treats about 32,000 patients every year.

Polycystic kidney disease diagnosis
1592
Endoscopic kidney resection
8855
location_onCountry: Germany
location_searchingCity: Munich

University Hospital Frankfurt am Main

10/10 from 97 Votes

The University Hospital Frankfurt is part of the Johann Wolfgang Goethe University Frankfurt am Main. The hospital was founded in 1914 and today it is a famous German medical institution with rich traditions. The hospital treats about 49,000 inpatients and 220,000 outpatients every year.

Polycystic kidney disease diagnosis
1675
Endoscopic kidney resection
8969
location_onCountry: Germany
location_searchingCity: Frankfurt am Main
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University Hospital Rechts der Isar of the Munich Technical University

10/10 from 70 Votes

The Rechts der Isar Hospital is the University Hospital of the Technical University of Munich. There is intensive cooperation between the research facilities of the TU and the hospital in numbers of areas.

Polycystic kidney disease diagnosis
2178
Endoscopic kidney resection
10023
location_onCountry: Germany
location_searchingCity: Munich
certificatecertificate

HELIOS Clinic Krefeld

9.7/10 from 38 Votes

Founded in 2014, the HELIOS Clinic Krefeld is one of the most modern medical facilities in Germany today. A team of highly qualified specialists, innovative medical equipment and comfortable accommodation conditions – the clinic has everything to make the treatment run smoothly and efficiently.

Polycystic kidney disease diagnosis
1604
Polycystic kidney disease diagnosis
1599
location_onCountry: Germany
location_searchingCity: Krefeld

Academic Hospital Asklepios Barmbek Hamburg

9.5/10 from 23 Votes

As an Academic Hospital of the University of Hamburg, the Asklepios Barmbek Hospital offers a wide range of medical services in the field of conservative and surgical treatment. The hospital was opened in 2005 and today it is one of the best and modern medical centers in Europe.

Polycystic kidney disease diagnosis
1696
Endoscopic kidney resection
9062
location_onCountry: Germany
location_searchingCity: Hamburg

University Hospital Muenster

9.8/10 from 78 Votes

The University Hospital Muenster is one of the most respected multi-field medical centers in Germany. It consists of more than 30 departments and numerous research institutes and centers. Every year over 58,000 inpatients are treated here and nearly 475,000 patients receive medical care on the outpatient basis.

Polycystic kidney disease diagnosis
1696
Endoscopic kidney resection
9299
location_onCountry: Germany
location_searchingCity: Muenster
certificatecertificatecertificatecertificate

DKD HELIOS Clinic Wiesbaden

9.2/10 from 5 Votes

German Clinic for Diagnostics is a combination of the highest professionalism of the staff and the most up-to-date medical devices, therefore it is known far beyond Germany.

Polycystic kidney disease diagnosis
1611
location_onCountry: Germany
location_searchingCity: Wiesbaden

Vivantes Humboldt Hospital Berlin

9.7/10 from 23 Votes

An academic clinic of the university medical complex Charité, the Vivantes Humboldt Hospital is one of the largest specialized medical institutions in Berlin.

Polycystic kidney disease diagnosis
2065
Endoscopic kidney resection
10016
location_onCountry: Germany
location_searchingCity: Berlin

Leverkusen Clinic

10/10 from 23 Votes

The Leverkusen Clinic is a hospital with a top-class regional medical care. It has the highly qualified diagnostic and health care facilities.

Endoscopic kidney resection
8630
location_onCountry: Germany
location_searchingCity: Leverkusen

Academic Hospital Bogenhausen Munich

9.2/10 from 43 Votes

With more than 36,000 patients annually and 1,000 beds, the Academic Hospital Bogenhausen is one of the largest clinics in Munich.

Endoscopic kidney resection
9356
location_onCountry: Germany
location_searchingCity: Munich

Urology Hospital Munich-Planegg Munich

9/10 from 23 Votes

The Urology Hospital Munich - Planegg, founded in 1969, is one of the most advanced specialized urology clinics in Germany. The main focuses of the hospital include urologic oncology, reconstructive surgery, general urology, andrology and pediatric urology.

Endoscopic kidney resection
8986
location_onCountry: Germany
location_searchingCity: Munich

Preventicum Diagnostic Сlinic Essen

10/10 from 1 Votes

The Preventicum Diagnostic Clinic has been intensively working over the years to become one of the leading medical excellence centres in Germany.

Polycystic kidney disease diagnosis
2082
location_onCountry: Germany
location_searchingCity: Essen

Vivantes Neukölln Hospital Berlin

10/10 from 23 Votes

The Vivantes Neukölln Hospital is the maximum care hospital and one of the largest healthcare facilities in Berlin.   There are more than 20 specialized departments and centers, including pediatric departments. In total, the hospital has 1,200 beds.

Polycystic kidney disease diagnosis
2075
Endoscopic kidney resection
9999
location_onCountry: Germany
location_searchingCity: Berlin

ATOS Clinic Heidelberg

10/10 from 23 Votes

Founded in 1991, the ATOS Clinic Heidelberg combines top-quality service and cutting-edge medicine. It keeps track of the latest scientific developments and contributes to the development of new treatments.

Polycystic kidney disease diagnosis
0.00
location_onCountry: Germany
location_searchingCity: Heidelberg

About the disease

Polycystic kidney disease is a hereditary disease, in which kidney tissue is affected by multiple growing cysts of different sizes. The condition usually affects both kidneys. The lumps contain a jelly-like fluid resembling the colour of urine. Due to a reduced mass of functioning parenchyma, cyst growth causes kidney failure.  Extrarenal polycystic kidney disease can also affect the surrounding tissues. 

The cysts can be either closed or non-closed. The first ones look like closed sacs, which are not related to renal tubules and cannot fulfil the excretory function. These cysts are common for the smallest patients and have an unfavourable prognosis. The non-closed cysts look like dilated tubules and are connected to the renal pelvis. In these cysts the excretory function is partially preserved. This type is more common for older children and adults. The last ones are 10 times more likely to develop polycystic kidney disease than children.

Symptoms

  • Compensated stage manifests almost no signs of the condition. A person will eventually experience pressure in the lower back, abdominal pain and headache. Kidney functions are performed adequately.
  • Sub compensated stage is characterized by a gradual development of kidney failure, which manifests itself with high blood pressure and headaches. The cyst can develop suppuration that will cause renal colic, chills, intoxication and fever.
  • Decompensated stage is characterised by the development of chronic uremia. In case of suppuration cysts can be also affected by urosepsis. A secondary infection, such as flu or acute respiratory viral infection (ARVI) can cause death. 

Diagnosis

  • Palpation can detect enlarged kidneys with an irregular nodular surface. Sometimes kidneys can be so large that they protrude, especially in children. 
  • Urine can contain red and white blood cells. The daily urinary output can be decreased. 
  • The levels of red blood cells are low, while the levels of creatinine and urea are increased. 
  • Ultrasound can detect enlarged kidneys with multiple cysts of different sizes and the use of contrast agents can determine the areas of the organ which lack blood vessels. 

Treatment

  • At the initial stage doctors prescribe painkillers to subside infectious processes, which are common for this diagnosis, as well as antihypertensive drugs.
  • Endoscopic resection is recommended if the treatment of polycystic kidney disease is ineffective and pains do not disappear. The surgery aims to remove the contents of large cysts, but it cannot prevent their development in the future. Surgical treatment of polycystic kidney disease is performed percutaneously and thus suppuration and severe pain can be avoided. Cyst incision results in the reduced kidney size and improved blood circulation. In exceptional cases a surgeon can also remove a suppurating kidney but only if the second one, which is also affected by polycystic kidney disease, can fulfil the excretory functions. If the condition is accompanied by pyelonephritis, the doctor will prescribe antibiotics. In terminal stages patients need artificial blood filtration and transplantation of their nonfunctional organ. 



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