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The doctor performs the surgery by guiding endoscopic instruments through the sleeve into the kidney. Under X-ray control, the cyst is opened, and a large portion of the wall is removed. This procedure usually requires an overnight stay in the hospital. Laparoscopy and Cyst Removal Laparoscopy and cyst removal is the treatment of choice for most patients with numerous or very large cysts. The laparoscopic approach is best for removing a large number of cysts and for those with a condition called adult polycystic kidney disease (APCKD).
Some cysts may need to be drained to relieve symptoms. That involves piercing the cyst with a scalpel and draining it. That doesn't cure the cyst, however. Some inflamed cysts can be treated with an injection of cortisone medication to cause it to shrink.