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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Multiple Cysts In Both The Kidneys

Hi
My father has been diagnosed with Chronic Kidney Disease, due to multiple cysts in both his kidneys. we started the treatment around 6 months back when the blood creatinine 3.2, inspite of the the medication and diet control, his creatinine level constantly increased and now the in the latest report taken yesterday it stands at 12.1. The blood urea is 138. Doctors have recommended dialysis and ultimately transplant.

Is it the only way out? I have heard of newer techniques of transplant involving removal of spleen in the process also i have heard of use of embryonic stem cells. I came across an article on steroid free kidney transplant. Please guide me on the course of action to be followed.
Mon, 21 Nov 2016
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Urologist 's  Response
Hello and welcome to HCM. As an Urologist and kidney transplant surgeon,i can understand your anxiety. You've not written his age,which's important.
In CKD,there are only two options: 1.Transplant or 2.Dialysis: hemo or PD.
With the level of kidney function your father has,he will need hemodialysis.
Then consider a transplant. Steroids are given routinely, initially.
Recently,certain centers are trying to stop the steroids early,as it has side-effects. Other anti-rejection drugs are given for a lifetime,without steroids.
If you've any doubts,send all reports, as a direct question to me.
Dr.Matthew J. Mangat.
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Suggest Treatment For Multiple Cysts In Both The Kidneys

Hello and welcome to HCM. As an Urologist and kidney transplant surgeon,i can understand your anxiety. You ve not written his age,which s important. In CKD,there are only two options: 1.Transplant or 2.Dialysis: hemo or PD. With the level of kidney function your father has,he will need hemodialysis. Then consider a transplant. Steroids are given routinely, initially. Recently,certain centers are trying to stop the steroids early,as it has side-effects. Other anti-rejection drugs are given for a lifetime,without steroids. If you ve any doubts,send all reports, as a direct question to me. Dr.Matthew J. Mangat.