Sponge kidney refers to medullary sponge kidney, generally asymptomatic people do not need treatment, and symptomatic people need to take general measures, medication, surgery for symptomatic treatment. Medullary cavernous kidney is a kind of congenital renal developmental anomaly disease which is more common in clinic. Whether medullary cavernous kidneys need treatment depends on the actual condition and cannot be generalized. For medullary sponge kidney patients with no clinical symptoms, treatment is usually not needed, but you need to review the urine calcium and urine bacterial culture on a regular basis. If there are symptoms such as urinary tract infection and urinary stones, patients need active treatment. Usually increase the amount of water, reduce the intake of salt and calcium and other components. For urinary tract infections, antibiotics such as levofloxacin and amoxicillin should be used as prescribed by the doctor. Once the stone is formed, you need to use potassium citrate, sodium bicarbonate and other stone dissolving drugs as prescribed by the doctor, and if necessary, you need to take extracorporeal shock wave lithotripsy and nephrectomy. All in all, patients with medullary sponge kidney need to strengthen their daily life management, go to the hospital for follow-up on time, and actively cooperate with doctors for treatment if necessary.