Autosomal dominant polycystic kidney disease and pain - A review of the disease from aetiology, evaluation, past surgical treatment options to current practice

Ketan K. Badani, A. K. Hemal, M. Menon

Research output: Contribution to journalReview articlepeer-review

28 Scopus citations

Abstract

Autosomal Dominant Polycystic Kidney Disease (ADPKD), often referred to as "adult" polycystic kidney disease, is one of the commonest hereditary disorders. It affects approximately 4 to 6 million individuals worldwide. The disease progresses to end-stage renal disease and it accounts for 10-15% of patients requiring dialysis in the United States. A comprehensive Medline search for aetiology, evaluation, screening, cellular biology, and treatment was utilized to locate, extract, and synthesize relevant data with respect to this topic. Special attention was focused on urologic literature and surgical textbooks regarding operative treatment of pain associated with ADPKD. Now, patients with ADPKD have more treatment options. More specifically, several therapeutic alternatives are now available for the management of pain in these patients. A recent review of literature supports the performance of open or laparoscopic cyst decortication procedures for control of pain and infection without the worry of causing further renal impairment in those with preserved renal function.

Original languageEnglish
Pages (from-to)222-226
Number of pages5
JournalJournal of Postgraduate Medicine
Volume50
Issue number3
StatePublished - Jul 2004
Externally publishedYes

Keywords

  • Laparoscopic
  • Pain
  • Polycystic
  • Robotic surgery

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