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Autosomal Dominant Polycystic Kidney Disease

Welcome to Our Autosomal Dominant Polycystic Kidney Disease Clinic

At UConn Health, our Autosomal Dominant Polycystic Kidney Disease (ADPKD) Clinic provides comprehensive, multidisciplinary care for individuals and families living with ADPKD. We partner with you throughout every stage of your journey—from diagnosis and monitoring to treatment and long-term kidney health.

Our goal is to help preserve kidney function, manage symptoms, reduce complications, and improve quality of life through personalized, evidence-based care. Our clinic helps coordinate care with specialists when appropriate.

What is ADPKD?

Autosomal Dominant Polycystic Kidney Disease (ADPKD) is one of the most common inherited kidney disorders, affecting approximately 1 in every 400–1,000 people.

In ADPKD, fluid-filled cysts gradually develop and enlarge within the kidneys. Over time, these cysts can increase the size of the kidneys and reduce their ability to function normally. While many people maintain good kidney function for decades, some eventually develop chronic kidney disease or kidney failure.

ADPKD is caused by changes (mutations) in genes that regulate kidney cell growth. Because it is inherited in an autosomal dominant pattern, a parent with ADPKD has a 50% chance of passing the condition on to each child.

Common Symptoms

Symptoms vary from person to person. Some individuals have few symptoms for many years, while others experience complications earlier in life.

Common symptoms include:

  • High blood pressure
  • Pain in the back, side, or abdomen
  • Blood in the urine (hematuria)
  • Kidney cyst infections
  • Urinary tract infections
  • Kidney stones
  • Enlarging kidneys that may cause abdominal fullness or discomfort
  • Declining kidney function over time

Some people are diagnosed after a family member is found to have ADPKD, even before symptoms develop.

Treatment

Although there is currently no cure for ADPKD, many treatments can help slow disease progression and reduce complications.

Your treatment plan may include:

  • Blood Pressure Control

    Careful blood pressure management is one of the most important ways to protect kidney function.

  • Disease-Modifying Therapy

    For many years, treatment for ADPKD focused primarily on managing complications such as high blood pressure and chronic kidney disease. Today, there are therapies that may slow the progression of kidney disease in selected patients. Your nephrologist will discuss whether these therapies are appropriate based on your age, kidney function, imaging findings, and risk of disease progression.

  • Kidney Replacement Therapy

    For patients with advanced kidney disease, we provide education and planning for:

    • Kidney transplantation
    • Home dialysis
    • In-center hemodialysis

    Whenever possible, kidney transplantation is the preferred treatment for kidney failure due to ADPKD.

  • Lifestyle Measures

    We work with patients on:

    • Maintaining good hydration
    • Following a kidney-healthy diet
    • Limiting sodium intake
    • Maintaining a healthy weight
    • Regular exercise
    • Avoiding tobacco
    • Managing cardiovascular risk factors
  • Management of Complications

    Our team provides treatment for:

    • Kidney pain
    • Kidney cyst infections
    • Kidney stones
    • Blood in the urine
    • High blood pressure
    • Chronic kidney disease

Family Screening and Genetic Counseling

Because ADPKD is inherited, family members may also be at risk.

We offer guidance regarding:

  • Family screening
  • Genetic counseling and genetic testing
  • Family planning and Pregnancy counseling for women with ADPKD through our obstetric and gynecology clinic

Why Choose Our ADPKD Clinic?

Our clinic offers:

  • Comprehensive evaluation by nephrology specialists with expertise in ADPKD
  • Personalized treatment plans
  • Access to the latest evidence-based therapies
  • Coordinated multidisciplinary care
  • Long-term monitoring of kidney health
  • Education for patients and families
  • Support throughout every stage of disease

We are committed to helping patients with ADPKD live healthier lives through early detection, expert management, and compassionate, coordinated care.

Nephrology

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