Please note: This information was as current as we could make it on the date given above. But medical information is always changing, and some information given here may be out of date. For regularly updated information on a variety of health topics, please visit familydoctor.org, the AAFP patient education Web site.
An article on this topic is available in this issue of AFP.
Kidney Cysts
What are kidney cysts?
Your kidneys remove waste products from your blood. They do this by filtering the blood and making urine.
As people get older, fluid-filled sacs, called "cysts," can form in the kidneys. These cysts are usually small, oval or round thin-walled sacs with water in them.
Kidney cysts are almost always benign (not cancer). Usually, the cysts cause no problems. In fact, people can go through life without knowing that they have them.
How common are kidney cysts?
Cysts can form almost anywhere in the body, but they are especially common in the kidneys. Up to 50 percent of people older than 50 years have kidney cysts.
How are kidney cysts found?
Almost all kidney cysts are found on radiology studies, like ultrasound, CT or MRI exams that are done because of problems in other parts of the body. The cysts are called "incidental" because they are found while a doctor is looking for something else and because of their benign nature.
If I have a kidney cyst, what will my doctor want to do?
First, your doctor will ask if you're having any problems because of the kidney cyst. The cyst could cause pain on your side between your ribs and your hip, pain in your belly, a fever, frequent urination or blood in your urine. If you're having any of these problems, your doctor will examine you and order lab tests.
If you're not having any of those problems and your kidney cyst is small, you probably don't need any treatment. Your doctor might want to check the cyst again with a CT scan in 6 to 12 months. If you start having problems, your doctor might want you to have a CT or MRI scan of your kidney to see if the cyst is growing. Remember that most people with kidney cysts never have problems and never need extra CT scans.
If your kidney cyst is large or if it contains calcifications (hard, stony pieces) or dense tissue, you might need to have CT scans every so often so that your doctor can watch for changes in the cyst. To get more information about the cyst, your doctor might also want you to have an MRI scan.
Will I need surgery to remove a kidney cyst?
Probably not. Most kidney cysts are harmless and don't need to be removed. Your doctor will send you to a urologist (a doctor with special training in kidney problems) if your kidney cyst keeps getting bigger, if you have problems because of the cyst or if there is any concern that the cyst might be a cancer.
This handout provides a general overview on this topic and may not apply to everyone. To find out if this handout applies to you and to get more information on this subject, talk to your family doctor.
Visit familydoctor.org for information on this and many other health-related topics.
Copyright © 2001 by the American Academy of Family Physicians.
Permission is granted to print and photocopy this material for nonprofit educational uses. Written permission is required for all other uses, including electronic uses.
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