Autosomal dominant polycystic kidney disease

Also called ADPKD, Polycystic kidney disease, or PKD

Autosomal dominant polycystic kidney disease is an inherited condition that causes clusters of cysts to develop in both kidneys. The kidneys gradually get bigger and over many years may stop working well. Symptoms usually start between the ages of 30 and 60.

Last updated Nov 9, 2026

What it is

Each child of an affected parent has a 1 in 2 chance of inheriting it. Cysts can also form in the liver, and there is a higher risk of brain aneurysms.

Treatment focuses on controlling blood pressure, managing pain and protecting kidney function. Some people are offered a medicine that slows cyst growth, and some eventually need dialysis or a transplant.

Common signs

  • High blood pressure
  • Pain in the side or back
  • Blood in the urine
  • Kidney stones and urinary infections

How it is usually diagnosed

  • Kidney ultrasound
  • Blood and urine tests of kidney function (creatinine, eGFR)
  • MRI to measure kidney size
  • Genetic testing in some families

Records worth keeping

Keeping these together makes each appointment easier, especially when you see a new doctor:

  • eGFR and creatinine results over time
  • Blood pressure readings
  • Ultrasound and MRI reports
  • Family history and any genetic test results

Questions to ask your doctor

  • How quickly is my kidney function changing?
  • Am I suitable for treatment that slows cyst growth?
  • Should my children or relatives be checked?

When to get help right away

Call 112 or go to the nearest emergency department if you have:

  • A sudden, extremely severe headache, which can be a bleeding brain aneurysm: call 112
  • Fever with severe side pain

This page is general information. It is not a diagnosis and does not replace a doctor who knows your history. Medfold keeps your records organised; it does not interpret them.

Sources