Cystic Kidney Disease: Therapy

General measures

  • Any concomitant medical conditions should be carefully monitored and treated.
  • Blood pressure should be optimally adjusted.
  • Blood lipids (blood fats) should be controlled and, if necessary, brought to a low level.
  • Urine should be checked regularly for urinary tract infections!
  • Nicotine restriction; smoking is harmful to the kidneys!
  • Limited alcohol consumption (men: max. 25 g alcohol per day; women: max. 12 g alcohol per day).
  • Preservation of normal weight strive!Determination of BMI (body mass index, body mass index) or body composition using electrical impedance analysis.
    • Falling below the BMI lower limit (from the age of 19: 19; from the age of 25: 20; from the age of 35: 21; from the age of 45: 22; from the age of 55: 23; from the age of 65: 24) → Participation in a medically supervised program for the underweight.
  • Avoidance of environmental stress:
    • Metals (cadmium, lead, mercury, nickel, chromium, uranium).
    • Halogenated hydrocarbons (HFCs; trichloroethene, tetrachloroethene, hexachlorobutadiene, chloroform).
    • Herbicides (paraquat, diquat, chlorinated phenoxyacetic acids).
    • Mycotoxins (ochratoxin A, citrinin, aflatoxin B1).
    • Aliphatic hydrocarbons (2,2,4-trimethylpentane, decalin, unleaded gasoline, mitomycin C).
    • Melamine

Conventional non-surgical therapy methods

  • Dialysis (blood purification procedure used as a replacement procedure for kidney failure) – autosomal dominant polycystic kidney disease (ADPKD) is the cause of kidney failure in approximately 7-10% of dialysis patients.

Vaccinations

The following vaccinations are advised:

  • Flu vaccination
  • Hepatitis B
  • Pneumococcal vaccination

Regular checkups

  • Regular medical checkups

Nutritional medicine

  • See under chronic renal failure

Sports Medicine

  • Endurance training (cardio training) and strength training (muscle training).
  • Patients with hypertension (high blood pressure) may benefit from exercise.
  • Educate the patient about possible macrohematuria (red coloration of the urine, ie, visible blood in the urine): cyst bleeding after exercise is usually harmless.
  • Preparation of a fitness or training plan with suitable sports disciplines based on a medical check (health check or athlete check).
  • Detailed information on sports medicine you will receive from us.