Gerald R. Jerkins MD
Pediatric Urology Associates
of the MidSouth, P.C.
Memphis Tennessee

Multicystic Kidney

Most cystic kidneys in children are first suspected during a prenatal ultrasound examination of the mother. It is sometimes difficult to know at that time if the kidney is made up of cysts [small fluid filled sacs] or if the kidney is blocked and filled with urine [hydronephrosis]. Once the baby is born, a follow up ultrasound is helpful in making the diagnosis. Other tests [a bladder x-ray and kidney scan] may be ordered to see if the kidney is cystic and to see if there are any abnormalities of the other kidney.

Multicystic kidneys are found in about 1 of every 3-4000 babies born. Deciding on the best treatment can be confusing. Even though a few of these cystic kidneys have been the source of high blood pressure or tumor, this happens only rarely. Whether to remove the kidney or monitor it with ultrasound continues to be a subject of debate.

The articles and information from the links here may be helpful in preparing questions to ask your physician when you discuss what is best for your baby.

Helpful Links

http://www.childrenshospital.org/az/Site1318/mainpageS1318P0.html