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 REVIEW ARTICLE
Year : 2004  |  Volume : 50  |  Issue : 3  |  Page : 222-226

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


Vattikuti Urology Institute, Henry Ford Hospital, Detroit, Michigan, USA

Correspondence Address:
Ketan K Badani
Vattikuti Urology Institute, Henry Ford Hospital, Detroit, Michigan
USA
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Source of Support: None, Conflict of Interest: None


PMID: 15377813

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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.






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Online since 12th February '04
© 2004 - Journal of Postgraduate Medicine
Official Publication of the Staff Society of the Seth GS Medical College and KEM Hospital, Mumbai, India
Published by Wolters Kluwer - Medknow