Patient: Description of condition (onset, main symptoms, hospital visited, etc.): Patient 30 years old male in good health, cyst 39X34MM urine protein 3+ never had back pain occasional back pain, how should I treat it? It was detected in a small hospital. I have never treated it, but now I am watching my diet. I just got married and haven’t had any children yet, how can I treat it to avoid passing it on to my children? Sanming Second Hospital Urology Department Chen Jian: Hello! First of all, I have a question about your diagnosis, you should have done an ultrasound to find it, your description is a cyst 39x34MM, I don’t know if it means the largest cyst or just this one cyst. If it is multiple and cysts are visible in both kidneys and liver, then polycystic kidney is very likely; if it is a single cyst, then it is considered as renal cyst and polycystic kidney is less likely. We suggest you to make a clear diagnosis first and then consider the next step of treatment. Patient: Hello doctor: I have confirmed that I have polycystic kidney, which is inherited from my father, there are numerous cysts in both kidneys and mixed with multiple small nodules, the largest one is 39x34mm, which means the cysts are 4CM in size, I have been thinking about it for a month, if I don’t treat it, I am afraid I will die in this world soon. I will upload the ultrasound pictures as soon as possible and ask you to help analyze my condition. Thank you Sanming Second Hospital Urology Department Chen Jian: I don’t know what other tests you’ve had, but we recommend perfecting the kidney function (blood sampling) and CT examination of both kidneys to prepare for the next step of treatment. You are overly worried! If polycystic kidney progresses rapidly, it can eventually lead to uremia due to the loss of normal renal parenchymal function, which is life-threatening. However, this process is usually slow and the onset is mostly seen after the age of 50-60. According to the further improvement of examination, we can perform “polycystic kidney cyst decompression surgery” in regular hospital, and regularly review CT and kidney function after surgery, which can mostly delay or stop the progress of the disease. For your condition, the preliminary judgment is that it is still in the stable stage of the disease and progressing slowly, further judgment is needed after the improvement of relevant examination. Patient: Hello doctor: Will the treatment of “polycystic kidney cyst decompression surgery” cause any damage to the kidney? If the large cysts are removed, won’t the small cysts grow rapidly? I would like to know if there is any Chinese medicine that can treat it? Thank you, Jian Chen, Department of Urology, Sanming Second Hospital: “Polycystic kidney cyst decompression surgery” treatment has more advantages than disadvantages for the kidney, and there are risks in any surgery. Polycystic kidney can not be completely removed from the cyst, but can only decompress the larger cysts as much as possible to protect the kidney function. There is indeed the possibility of small cysts growing after decompression of large cysts, so this disease requires close post-operative follow-up and review, and even the possibility of multiple surgeries. At present, I know of no special Chinese medicine that can treat polycystic kidney for the time being.