Povidone-iodine sclerotherapy is ineffective in the treatment of symptomatic renal cysts

Ralph Madeb, Paul A. Feldman, Joy Knopf, Ronen Rub, Erdal Erturk, Daniel Yachia

Research output: Contribution to journalArticlepeer-review

14 Scopus citations


Purpose: To evaluate the efficacy of povidone-iodine sclerotherapy after percutaneous drainage of simple renal cysts in the treatment of symptomatic patients. Patients and Methods: Sixteen patients with symptomatic renal cysts were treated by percutaneous drainage and injection of povidone-iodine solution. The cysts were drained by a nephrostomy tube catheter, and povidone-iodine injections were repeated every 24 hours for 3 days. All patients were followed up by ultrasound examination during a period ranging from 1 to 4 years (mean 1.8 years). Results: Thirteen patients experienced recurrence of cysts, while complete resolution was observed in only three patients. Of the cysts that recurred, only partial resolution in cyst diameter was observed (from 3-10.5 cm to 2.4-8.6 cm). During the follow-up period, 12 of the 16 patients (75%) continued to have pain that necessitated additional treatments. Conclusion: Povidone-iodine sclerotherapy is followed by a high rate of recurrence and is therefore not indicated for the treatment of symptomatic simple renal cysts.

Original languageEnglish (US)
Pages (from-to)402-404
Number of pages3
JournalJournal of endourology
Issue number6
StatePublished - Jun 1 2006

ASJC Scopus subject areas

  • Urology


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