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Andy Stein
April 29, 2026

Kidney Cysts | Causes, Symptoms, Treatment

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Kidney Cysts | Causes, Symptoms, Treatment

What are kidney cysts?

Kidney cysts are round pouches of fluid that form on or in the kidneys. Most often, kidney cysts are a type called simple kidney cysts. Simple kidney cysts aren’t cancer and rarely cause problems.

It is not clear what causes simple kidney cysts. And it is normal to have 3 or more cysts in each kidney after the age of 30 years.

Simple kidney cysts are often found during an ultrasound (or CT or MRI) for another condition.

Treatment usually is not needed unless simple cysts cause symptoms.

Symptoms

Simple kidney cysts usually do not cause symptoms. But if a simple kidney cyst grows large enough, symptoms may include: dull pain in the back or side, or fever (if they get infected; this is unusual).

Causes

It’s not clear what causes simple kidney cysts. One theory suggests that kidney cysts develop when the surface layer of the kidney weakens and forms a pouch. The pouch then fills with fluid, detaches and develops into a cyst.

Risk factors

The risk of having simple kidney cysts increases as you get older. But they can occur at any age. Simple kidney cysts are more common in men.

Complications

Kidney cysts may sometimes lead to complications, including:

  • Infection – a kidney cyst may become infected, causing fever and pain
  • Bursting – A kidney cyst that bursts causes severe pain in the back or side. Sometimes a burst cyst may cause blood in the urine
  • Blocked urine flow – a large kidney cyst can occasionally block the ureter, and therefore the flow of urine. This is called urinary obstruction and is very rare.

Other types of cysts

  • Complex cysts. Complex cysts need to be monitored with regular imaging (e.g. ultrasound) for changes that could be cancer
  • Acquired kidney disease. This occurs as a complication of chronic kidney disease (CKD), if you have CKD4-5 for more than 5 years. People with acquired cystic kidney disease are more likely than people in the general population to have kidney cancer. However, the chance of that cancer spreading is lower in people with acquired cystic kidney disease 
  • Polycystic kidney disease (PKD)
  • Medullary sponge kidney (MSK).
  • Von Hippel-Lindau (VHL) renal cysts: are multiple, often bilateral cysts in the kidneys that occur in people with VHL disease. These cysts are frequently benign and don’t impact kidney function, but they are a key indicator of VHL and are associated with a significantly increased risk of developing clear cell renal cell carcinoma (RCC).

 

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