Vaginal cysts - what are they, do they need to be removed?

Vaginal and Bartholin's gland cysts are formations on the vaginal wall or in its vestibule, filled with liquid secretion. A vaginal cyst can be located on the surface, but sometimes it penetrates deep into the tissue and can reach the size of a chicken egg. Its increase occurs due to the accumulation of serous or mucous contents in it. As for Bartholin gland cysts, their formation can be caused by their blockage, narrowing or overgrowth.

The gynecological service of CELT invites you to undergo diagnostics and treatment of cysts in Moscow. Our multidisciplinary clinic has been operating in the capital's market for more than 25 years and offers paid medical services of a high professional level. We guarantee correct and accurate diagnosis, as well as treatment in accordance with modern international standards.

At CELT you can get advice from a gynecologist.

  • Cost of initial consultation - 3,000
  • Cost of consultation with ultrasound - 4,200

Make an appointment

Etiology of vaginal cysts and Bartholin glands

Initiating factors for vaginal cystsInitiating factors of glandular cysts
A cyst is not a tumor of the vagina and can be:
  • congenital, appearing in the process of embryonic development;
  • acquired under the influence of an iatrogenic factor during abortion, childbirth, surgical treatment of vaginal fistulas.
Blockage or narrowing of the glands can occur due to:
  • infectious lesions with vaginitis and vulvitis;
  • episiotomy - a surgical incision of the perineum to prevent perineal ruptures during childbirth;
  • good hygiene is not enough.

Clinic of vaginal cysts and Bartholin's glands

Symptoms of a vaginal cystSymptoms of glandular cysts
Most often, vaginal cysts do not manifest themselves in any way and can be discovered accidentally during an examination by a gynecologist. However, if they have a large diameter, the patient may feel:
  • foreign body in the vagina;
  • discomfort and pain during sexual intercourse;
  • disturbances in urine excretion and defecation.

If the cyst is infected, leucorrhoea and symptoms of colpitis appear, and the pain becomes stronger.

Small cysts have virtually no clinical manifestations and can be detected accidentally during hygiene measures. Cysts of large diameter are characterized by pain and discomfort, which increases when sitting and walking. Due to its blocking of the entrance to the vagina, unpleasant sensations arise during sexual intercourse. If the cyst is infected, the pain becomes stronger and does not stop. Complications can include infection and abscess.

Diagnosis of vaginal cysts and Bartholin glands in CELT

Diagnosis of vaginal cystDiagnosis of glandular cysts
Diagnosis occurs during a gynecological examination using speculum. The doctor detects a formation of a round or oblong shape, which needs to be differentiated from diverticula, prolapse of the walls of the bladder or vagina. In addition, colposcopy, smear examination and ultrasound scanning are performed.
  • An examination by a gynecologist reveals a dense, round formation located at the base of the labia majora;
  • A smear allows you to identify signs of inflammatory processes if there is colpitis;
  • Ultrasound scanning determines the diameter of the cyst and its effect on surrounding tissue.

Causes

Vaginal cyst, urethral diverticulum, paraurethral cyst in women are diseases that are simultaneously within the competence of a urologist and gynecologist. Due to the low prevalence of these diseases, the vast majority of staff doctors in local clinics today do not have the necessary experience in differentiating these pathologies. Conventional diagnostic methods do not allow us to identify the characteristic features of these diseases.

Vaginal cyst

- This is a hollow tumor-like formation filled with watery or mucous fluid. The cyst can reach 9-10 cm in diameter and be located both on the surface of the vaginal walls and in the depths of the tissues. This disease occurs in 1-2% of patients. Experts identify the following types of cystic formations of the vagina:

  • Congenital.

    Most often they are localized in the middle lateral or posterior walls of the vaginal cavity. Less common is a congenital cyst of the anterior vaginal wall. Formed due to intrauterine developmental anomalies.

  • Traumatic or implantation

    . Most often they are located much lower than congenital cysts in the posterior walls of the vaginal cavity. Formed as a result of surgery, birth injuries, abortions.

  • Vaginal vestibule cysts.

    Formed due to inflammation of the Bartholin gland. The cause of inflammation can be injuries, sexually transmitted infections, and failure to comply with intimate hygiene rules.

Paraurethral cyst

- This is a round, hollow formation formed from the glands of the urethra. A urethral cyst in women is filled with mucous fluid and can reach 2-4 cm in diameter. Most often it develops at the external opening of this canal and much less often in the depths of the tissue. Formed as a result of inflammatory diseases of the genitourinary system, birth or surgical trauma, due to decreased immunity (including due to diabetes mellitus). Urethral cyst occurs in 2-6% of women.

Urethral diverticula in women

- This is a hollow round formation, most often formed in the area of ​​the posterior wall of the urethra, usually communicating with the urethra. The diverticulum cavity can be up to 3 cm in diameter, and the wall of the diverticulum is similar to the wall of the urethra. When urinating, the diverticulum may become larger as some urine may be retained in the cavity. Urethral diverticula occur in 1.6-5% of women. Experts identify the following types of this disease:

  • Congenital. They are formed as a result of intrauterine development disorders: expansion of paraurethral cysts, improper fusion of the embryonic folds of the urethra.
  • Purchased. They are formed as a result of the transformation of paraurethral cysts, with a communication between the cyst and the urethra.

Treatment of vaginal cysts and Bartholin glands in CELT

The development of treatment tactics in our clinic is based on the diagnostic results and individual indications of the patient.

Treatment of vaginal cystsTreatment of glandular cysts
Cysts of small diameter that do not cause unpleasant symptoms do not require treatment, but require observation. If they grow and manifest themselves, they are removed surgically using various techniques:
  • Puncture aspiration - gives a temporary effect and is advisable in pregnant women who cannot be operated on;
  • Marsupialization - aimed at dissecting the cyst, removing its contents and suturing its walls to the vaginal mucosa;
  • Cystectomy - a longitudinal incision is made and the cyst is removed and the wound is sutured with absorbable sutures.

Depending on the situation, laparotomy or vaginal access is used.

Conservative treatment methods are not able to give the desired result, since they do not eliminate the violation of the outflow of secretions from the glands. However, if there are inflammatory processes, the patient is prescribed antibiotics. Surgical techniques include the following:

  • Opening the cyst, removing its contents, washing with an antiseptic, installing drainage;
  • Marsupialization - preserves the gland, involves cutting the cyst, removing its contents and forming a duct from the edges of its capsule;
  • Enucleation of the cyst and iron duct followed by suturing. The risk of relapse is eliminated since the gland is excised.

The gynecological service of CELT receives doctors of the highest category and candidates of science with over thirty years of practical experience. You can make an appointment with them online through our website or by contacting our operators.

Make an appointment through the application or by calling +7 +7 We work every day:

  • Monday—Friday: 8.00—20.00
  • Saturday: 8.00–18.00
  • Sunday is a day off

The nearest metro and MCC stations to the clinic:

  • Highway of Enthusiasts or Perovo
  • Partisan
  • Enthusiast Highway

Driving directions

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