Cyst vaginal - Retention rounded education of the vaginal wall. Cyst wall composed of connective tissue with areas of muscle tissue, and the inner surface is coated with a cubic, prismatic or cylindrical epithelium. Content cystic neoplasms clear (mucous or serous), dark brown or yellowish color. The cyst may be disposed on the surface of the vagina, and penetrate tissue in its connecting with fiber disposed around the vagina. Cyst vaginal observed in one to two percent of patients (mostly young adults). In most cases, the pathology detected in the upper vaginal or on a side wall thereof. Data size of tumors can range from one to ten centimeters.
The causes of vaginal cysts
By origin cysts are congenital and traumatic. Congenital cysts are rarely diagnosed. Most often, they are arranged in a side wall of the vagina. Traumatic cysts in the vaginal wall may occur after plastic surgery, birth defects, abortions, eliminating gaps and postnatal scarring or any injury of the vagina, cause the formation of a hematoma.
The reason for the formation of cysts in the wall of the vagina can be a variety of infections, sexually transmitted infections. Sometimes the cyst is formed by non-observance of hygiene of genitals. Congenital cysts called Bartholin gland cyst and cyst gartnerova stroke. New formation of the first type of violation occurs when the outflow of glandular secretion as a result of occlusion, stenosis, or imperforate ductless. Size Bartholin gland cyst is most often no more than three to seven centimeters. Kista travel gartnerova formed from portions mezzonefralnogo duct.
Treatment and diagnosis of cysts of the vagina
Cyst vestibule often detected during routine inspection. The final diagnosis is established and after a bimanual vaginal examination. For further development of the cyst should follow a doctor. The formation of small cysts are asymptomatic and do not require surgical treatment. Increasing the size of the cyst is accompanied by a sensation of a foreign object in the vagina, abnormal secretions, as well as disorders of the rectum and bladder. Suppuration content cysts, infection and ulceration of the sheets may be accompanied by increased pain, the occurrence of bleach and the emergence of symptoms of vaginitis.
By husking cystic neoplasms of the underlying tissues recourse in the event of rapid growth, the emergence or worsening of symptoms of cysts. In some cases, removal of cysts of the vagina is difficult.
Before surgery to remove a cyst in the study of vaginal surgeon finds anatomical relationship of the bladder, rectum, and cysts of the patient using ultrasound. Additionally appoint colposcopy, microscopic and bacteriological examination of smears.
In the event that the tumor lies very deep, the leg is not completely removed cyst. On foot impose terminals and cut off the cyst. Then replace the ligature clip.
The operation to remove the cyst
To remove a cyst vaginal currently used marsupializatsiyu puncture and aspiration.
Method needle aspiration gives a temporary effect. The epithelial cells continue to produce a cyst wall liquid which accumulates over time. This method of treatment is only applicable cysts vagina during pregnancy (patients with cysts larger).
When marsupializatsii dissect and empty cyst and its wall sutured to the vaginal mucosa. This method is considered the most gentle and safe.
When radical removal of mucous cysts dissect longitudinal section, and extirpate the tumor itself blunt and sharp way. On the bed, and then placing the mucosa catgut sutures.
Laparoscopy applied at husking congenital cysts of the vagina, as these cysts often grow into parpametralnuyu, paravaginalnuyu and parametrial tissue. Husking cysts gartnerova stroke can injure the bladder and rectum.
Remove the cysts vestibule
Cyst vestibule located close to the entrance, so it can be detected by touch alone. Cyst vaginal incision is made up of the capsule neoplasms. Now apply the oval cuts, since the longitudinal section of the cyst can burst and its contents fall into the vaginal cavity. Oval incision separates the cyst vestibule completely without damage. The skin gently grip pliers and pull to cut, neatly separating the capsule.