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Treatment of Polycystic Kidney Disease

Cost for treatment

Polycystic kidney disease diagnosis
0.00
Endoscopic kidney resection
6224.33
General therapeutic rehabilitation
0.00

University Hospital Rechts der Isar Munich

9.8/10
location_onGermany, Munich

Department of Nephrology and Rheumatology

The University Hospital Rechts der Isar Munich was founded in 1834. It combines long traditions with the very latest advances in modern medicine. The medical facility includes 33 specialized departments and 20 interdisciplinary centers, where patients can receive top-class medical care in all medical fields. The hospital annuall
Polycystic kidney disease diagnosis
0.00
Endoscopic kidney resection
12842.9

University Hospital of Ludwig Maximilian University of Munich

10/10
location_onGermany, Munich

Department of Endocrinology, Rheumatology, Nephrology, Infectology and Angiology

According to the Focus magazine, the University Hospital of Ludwig Maximilian University of Munich is regularly ranked among the best medical institutions in Germany! The hospital is the largest multidisciplinary medical facility, as well as a leading research and training center in Germany and Europe. The hospital is proud of i
Polycystic kidney disease diagnosis
0.00
Endoscopic kidney resection
12932.69

Charite University Hospital Berlin

9/10
location_onGermany, Berlin

Department of Nephrology, Transplantology, Hypertensiology and Internal Intensive Care

According to the authoritative Focus magazine, the Charite University Hospital Berlin occupies the first place in the rating of the top German medical facilities! The hospital is one of the largest and leading university medical complexes in Europe. The hospital in Germany provides modern diagnostics and treatment of patients, a
Polycystic kidney disease diagnosis
0.00
Endoscopic kidney resection
16518.83

University Hospital Frankfurt am Main

10/10

Department of Nephrology

According to the reputable Focus magazine, the University Hospital Frankfurt am Main ranks among the top German medical facilities! The hospital was founded in 1914 and today is a well-known German medical facility, which combines rich traditions and scientific innovations. A medical team of more than 6,500 employees cares about
Polycystic kidney disease diagnosis
0.00
Endoscopic kidney resection
11501.36

University Hospital Jena

8.9/10
location_onGermany, Jena

Department of Nephrology, Rheumatology, Osteology and Endocrinology

According to the prestigious Focus magazine, the University Hospital Jena regularly ranks among the top German medical facilities! The hospital has positioned itself as a multidisciplinary medical facility with a long history of more than 200 years. Since its foundation, the hospital has been constantly developing and modernizin
Polycystic kidney disease diagnosis
0.00
Endoscopic kidney resection
12717.62

University Hospital Bonn

9.2/10
location_onGermany, Bonn

Department of Gastroenterology, Hepatology, Nephrology, Infectology, Endocrinology and Diabetology

According to the authoritative Focus magazine, the University Hospital Bonn ranks among the top ten medical facilities in Germany! The hospital was opened on January 1, 2001, although in fact it inherits the medical facility, which operated at the Faculty of Medicine of the University of Bonn. The hospital in Germany combin
Polycystic kidney disease diagnosis
0.00
Endoscopic kidney resection
12871.09

University Hospital Carl Gustav Carus Dresden

9.1/10
location_onGermany, Dresden

Department of Nephrology

According to the reputable Focus magazine, the University Hospital Carl Gustav Carus Dresden ranks among the top five German hospitals! The hospital is the benchmark for modern high-quality medicine. Positioning itself as a maximum care medical facility, the hospital represents all medical fields. There are 26 specialized depart
Polycystic kidney disease diagnosis
0.00
Endoscopic kidney resection
14942.39

University Hospital Hamburg-Eppendorf

9.2/10
location_onGermany, Hamburg

Department of Nephrology, Rheumatology, Endocrinology and Kidney Transplantation

According to the Focus magazine, the University Hospital Hamburg-Eppendorf ranks among the top ten hospitals in Germany! Since its foundation in 1889, the hospital has taken a leading position in the European medical arena and still occupies it until today. A highly competent medical team of more than 11,000 employees takes care
Polycystic kidney disease diagnosis
0.00
Endoscopic kidney resection
14748.2

University Hospital Halle (Saale)

9.6/10
location_onGermany, Halle

Department of Nephrology, Rheumatology, Endocrinology and Diabetology

According to the prestigious Focus magazine, the University Hospital Halle (Saale) ranks among the top German medical facilities! The history of the hospital has more than 300 years, and during this time it managed to earn an excellent reputation not only in Germany, but throughout the world. The hospital positions itself as a s
Polycystic kidney disease diagnosis
0.00
Endoscopic kidney resection
11479.44

University Hospital Marburg UKGM

8.6/10
location_onGermany, Marburg

Department of Nephrology

The University Hospital Marburg UKGM offers patients modern diagnostics and comprehensive therapy at the international level. As a maximum care hospital, the medical facility specializes in all fields of modern medicine ranging from ophthalmology to traumatology and dentistry. The main areas of specialization of the hospital are
Polycystic kidney disease diagnosis
0.00
Endoscopic kidney resection
11066.02

University Hospital Duesseldorf

9.5/10
location_onGermany, Duesseldorf

Department of Nephrology

According to the authoritative Focus magazine, the University Hospital Duesseldorf ranks among the top Germany hospitals! The hospital is an excellent example of a combination of high-quality health care, research and teaching activities. With more than 50,000 inpatients and about 300,000 outpatients every year, the hospital is
Polycystic kidney disease diagnosis
0.00
Endoscopic kidney resection
12754.16

University Hospital Heidelberg

9.8/10
location_onGermany, Heidelberg

Department of Nephrology

According to Focus magazine, the University Hospital Heidelberg ranks among the top five hospitals in Germany! The hospital is one of the most advanced and reputable medical institutions not only in Germany, but throughout Europe. There are more than 43 specialized departments and 13 medical institutes, which cover all fields of
Polycystic kidney disease diagnosis
0
Endoscopic kidney resection
0

University Hospital Muenster

9.8/10
location_onGermany, Muenster

Department of General Internal Medicine, Nephrology, Hypertensiology and Rheumatology

According to the Focus magazine, the University Hospital Muenster ranks among the top German hospitals! The hospital belongs to the most prestigious medical institutions in Germany. The hospital is distinguished by a high professionalism of its doctors, state-of-the-art technological equipment and the availability of the most ad
Polycystic kidney disease diagnosis
0.00
Endoscopic kidney resection
11529.55

University Hospital Essen

9.6/10
location_onGermany, Essen

Department of Nephrology

According to the authoritative Focus magazine the University Hospital Essen ranks among the top German hospitals! With 27 specialized departments and 24 institutes, the hospital in Germany is a maximum care medical facility. The hospital has 1,300 beds for inpatient treatment. A highly qualified medical team of more than 6,000 e
Polycystic kidney disease diagnosis
0.00
Endoscopic kidney resection
11426.2

University Hospital Giessen UKGM

9.5/10
location_onGermany, Giessen

Department of Pulmonology, Internal Intensive Care, Infectology, Gastroenterology, Nephrology

The University Hospital Giessen UKGM positions itself as an ultramodern medical facility with outstanding quality of medical care. The hospital presents almost all areas of medicine, ranging from ophthalmology to traumatology and dentistry. The priorities of the hospital’s activities include surgery, neurosurgery, oncology
Polycystic kidney disease diagnosis
0.00
Endoscopic kidney resection
10975.19

HELIOS University Hospital Wuppertal

9.8/10
location_onGermany, Wuppertal

Department of Nephrology and Rheumatology

According to the prestigious Focus magazine, the HELIOS University Hospital Wuppertal ranks among the top medical facilities in Germany! The hospital rightfully enjoys the status of the maximum care medical facility and provides its high-quality services in all modern fields of medicine. The hospital operates on the basis of the
Polycystic kidney disease diagnosis
0.00
Endoscopic kidney resection
11756.1
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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. 

Authors: Dr. Nadezhda IvanisovaDr. Farrukh Ahmed




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