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Living with Medullary sponge kidney

A birth difference in the kidneys' tiny tubes, causing a sponge-like look. Many have no symptoms, while some get kidney stones.

Understanding Medullary sponge kidney

Medullary sponge kidney (MSK) is a birth defect of the tiny tubes inside the kidneys.

Tiny cysts form in the inner part of the kidney, giving it a sponge-like look. The cysts keep urine from flowing freely. Many people have no symptoms. Others may have blood in the urine, kidney stones, and urinary tract infections. Rarely it leads to chronic pain or kidney failure.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Blood in the urine (hematuria)
  • Kidney stones
  • Urinary tract infections
  • Chronic pain (rarely)

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include genetic specialists and kidney specialists.

  3. Consider genetic testing

    Changes in HNF1B are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

Care & treatment

Care team
Genetic specialists (geneticists); Kidney specialists (nephrologists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with American Association of Kidney Patients and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
How can I lower my chance of kidney stones?
How often should my kidney function be checked?
Could it run in my family?

Quick facts

Symptoms usually startChild and as an Adult
InheritanceAutosomal Dominant
GenesHNF1B

The cause is unknown, but some cases may run in families. The record lists the HNF1B gene and autosomal dominant inheritance.

GeneticKidney

Also known as: cacchi-ricci disease; msk; precalicial canalicular ectasia

Patient organizations

Source: NIH GARD · Medullary sponge kidneyGARD ID 232 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Medullary sponge kidney.

Explore the Medullary sponge kidney blog

Explore research for Medullary sponge kidney

Explore actively recruiting Medullary sponge kidney studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Medullary sponge kidney with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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