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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Undergone Kidney Transplant, Multiple Cyst, Internal Debris On Native Kidney. Suggested Surgery. Recommendations?

i have had a successful kidney transplant two months ago and my kidney function is back to within normal range but drs say a ct san shows my native kidneys which are both gone show multiple cysts with internal debris and want to take them out surgically. since i have been already thru a serious operation am concerned that they have concluded that native kidneys should come the ct scan report does not appear to be conclusive about cancer in renal cells and want to know how we can be certain
Wed, 31 Jul 2013
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Nephrologist,  's  Response
I understand your concern.Presumably you have ADPKD-CKD as the cause of kidney disease.Doctors on CT may be having doubt about the nature of cysts.
As such the findings you have described do not necessitate surgical removal of your native kidneys as the presence of internal debris in a majority of cases is suggestive of Calcification/infection within the cyst.To be sure,you can be subjected to MRI,PET CT if required.
Secondly within 2 months of transplant any such finding coming up is not all that common.Decision to remove native kidneys is invariably taken at pre-transplant stage.Post transplant intervention is only after doubly ascertaining the indication for removal of kidney/s
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Undergone Kidney Transplant, Multiple Cyst, Internal Debris On Native Kidney. Suggested Surgery. Recommendations?

I understand your concern.Presumably you have ADPKD-CKD as the cause of kidney disease.Doctors on CT may be having doubt about the nature of cysts. As such the findings you have described do not necessitate surgical removal of your native kidneys as the presence of internal debris in a majority of cases is suggestive of Calcification/infection within the cyst.To be sure,you can be subjected to MRI,PET CT if required. Secondly within 2 months of transplant any such finding coming up is not all that common.Decision to remove native kidneys is invariably taken at pre-transplant stage.Post transplant intervention is only after doubly ascertaining the indication for removal of kidney/s