Removal of a cyst with capsule
The surgeon dissects the mucous membrane over the cyst, uses a blunt and sharp method to isolate it from the surrounding tissues, trying not to open it (for large ones - after partial aspiration), controls the proximity of the urethra, bladder or rectum and removes the entire cyst; the bed is sutured to prevent hematoma, the mucous membrane is sutured with thin absorbable sutures. A bed-day allows you to eliminate bleeding and, if necessary, leave drainage for a day. The vaginal mucosa heals in 2–3 weeks without a noticeable scar; recurrences after complete excision are practically excluded.
Indications
- vaginal cyst more than 2–3 cm or growing, with a sensation of a foreign body, discomfort during sexual activity and insertion of tampons;
- Gartner's duct cysts, epidermal (after childbirth and operations), endometrioid cysts of the vagina;
- cyst suppuration, hemorrhage;
- a cyst that prevents childbirth or diagnosis.
Features
Vaginal cysts are benign formations from embryonic remains (Hartner's duct) or epithelial inclusions after injuries; they do not dissolve, as they grow, they interfere with sexual activity and childbirth and can fester. Puncture gives relapse, so treatment is excision with capsule and histology. Cysts of the anterolateral wall can be located next to the ureter and bladder (for large ones, pre-ultrasound/MRI and cystoscopy), and of the posterior wall - with the rectum, which requires careful technique. The vagina retains its shape and function after surgery; the scar in the mucous membrane is invisible.
