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hello Dr Wjhitney Im a urologist. She is lucky because 50-70% patients will have pain from bleeding into the cyst Is she a transplant candidate
on occasion you can unroof the cyst if its on the edge to relieve the pain ,but risk of infection is , you have to control the pain till the nbleeding stops if real bad someplaces might selectively infarct that vessel but stops bleed not always the pain, very tough to manage, always look into transplant if her heart is good
the infarction is a very radical move i did once for severe bleeding they usually tamponade themselves