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Festering vaginal cysts: causes, symptoms, diagnosis, treatment
Last reviewed: 23.04.2024
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Vaginal cysts are derived from the remains of the gartner's passage (embryonic ureter), lined with cylindrical (ciliated or cubic) or multilayered flat epithelium.
The causes of festering cysts of the vagina: infection of the contents of the cysts.
Symptoms of festering cysts of the vagina. Complaints appear when the tumors reach a considerable size. These include dyspareunia and pain in the vaginal area and perineal crotch. With suppuration cyst pain intensifies, the temperature rises. Sometimes there is a spontaneous rupture of the cyst. At the same time, a sticky liquid of yellow color or pus expires. Symptoms temporarily disappear, but with repeated accumulation of fluid in the cavity cysts inevitably resume.
Diagnosis of the festering cyst of the vagina is not difficult. Usually inspection in the mirrors and palpation are sufficient. Cysts of the vagina - the formation of a tauto-elastic consistency, ovoid or elongated, with distinct contours, localized in the upper or middle third of the vagina, often on the side wall, often near the urethra. The base of the cyst can be either wide or narrow. Sometimes the visual impression of the size of the formation is deceptive, since the upper pole of it goes far into the paravaginal and paravezical fiber and is in the immediate vicinity of the wall of the bladder and urethra, which presents difficulties for surgical treatment (danger of trauma to the urinary organs and subsequent fistula formation).
Differential diagnosis
Most often, vaginal cysts have to differentiate with cysto- and rectocele and diverticulosis.
- Cysto- and rectocele: hernial protrusion is most pronounced respectively in the anterior or posterior vaginal wall, increases with straining. Peculiarities of the incompetence of the muscles of the pelvic floor are determined. A catheterization of the bladder or finger research of the rectum easily helps to clarify the diagnosis.
- Diverticulosis of the urethra and bladder - protrusion of the wall of the urethra or bladder, communicating with its cavity. The disease can be complicated by the development of inflammation in the bag - diverticulitis, peridiverticulitis.
Probing with the help of a male catheter and urethrocystoscopy allows you to clarify the diagnosis.
Treatment of festering cysts of the vagina
With a small size of the cysts and the absence of complaints and suppuration, only one observation is sufficient. In other cases, surgical treatment is indicated - removal of the cyst, but the key to success is the complete removal of the capsule. With suppuration of the cyst, it can be removed simultaneously, together with the capsule. If it is not possible to completely remove the capsule (large size, pronounced inflammatory tissue infiltration, lack of proper experience), as a palliative intervention, the cyst cavity is opened and sanitized. Later in the "cold" period, radical treatment is carried out - removal of the vaginal cyst.
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