Patients with polycystic kidney disease (PKD) commonly have pain, bleeding, infection and pressure symptoms from their enlarged kidneys. To counter these symptoms with an aim of finding a cure, we offer several minimally invasive treatment options for patients.
Previously, PKD patients with end stage renal failure who needed their kidneys removed were limited to open surgery with very large incisions related to complications and a very slow recovery. We now offer the laparoscopic approach that allows removal of these large kidneys through small incisions using special laparoscopic techniques, such as tissue morcellation.
For the management of pain, laparoscopic cyst unroofing can be done successfully and results in significant improvement in related pain in 70 percent of the patients for two years. Recently, we started performing laparoscopic kidney denervation (division of the nerves feeding the kidney) as an additional treatment for pain in PKD patients. This is a minimally invasive procedure that allows a significant improvement in pain for patients who have pain which is unresponsive to medications or to previous cyst unroofing.
In a recent study, it was shown that denervating the kidneys resulted in significant reduction in cyst size and prevention of hypertension and renal function deterioration in both kidneys. We are currently investigating the option of renal denervation in patients for the prevention of future deterioration of renal function and development of hypertension.