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Currently, no treatment can prevent the cysts from forming or enlarging. Treatment goals are the reduction of symptoms and prevention of complications.
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Hypertension may be difficult to control, but control of it is the most important aspect of treatment. Treatment may include antihypertensive and/or diuretic medications, low-salt diet, or other treatments.
Any urinary tract infection should be treated promptly with appropriate antibiotics.
Any symptoms of anemia may be treated with iron and other supplements, erythropoietin administration, or blood transfusion.
Surgical or radiologic drainage of cysts may be indicated because of pain, bleeding, infection, or obstruction. (There are usually too many cysts to make removal a feasible alternative.)
Surgical removal of one or both kidneys may be required. Treatment of end-stage kidney disease may include kidney dialysis or kidney transplantation.
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