Ultrasound-guided ovarian cyst aspiration with sclerotherapy
Ordering this service voids the discount*
Ultrasound-guided ovarian cyst aspiration with sclerotherapy is a minimally invasive gynecological procedure used for the treatment of selected benign ovarian and adnexal cysts. The procedure involves transvaginal drainage of the cyst contents followed by the instillation of a sclerosing agent to reduce the risk of recurrence and fluid reaccumulation. It is particularly used for selected benign ovarian cysts, including endometriomas, when preservation of functional ovarian tissue is an important consideration.
Indications
- benign ovarian cyst accessible through a transvaginal approach;
- symptomatic ovarian endometrioma;
- persistent ovarian cyst with clinical or reproductive impact;
- need for cyst volume reduction while preserving ovarian reserve;
- preparation for assisted reproductive technology procedures in selected cases;
- recurrent ovarian cysts following previous treatment.
The indication is determined individually after a comprehensive gynecological and ultrasound evaluation.
Procedure
The procedure is performed under sterile conditions with transvaginal ultrasound guidance. After local anesthesia or conscious sedation, the physician inserts a specialized needle into the cyst cavity and aspirates its contents. A sclerosing agent is then instilled to act on the cyst wall and reduce the likelihood of recurrence. After the required exposure period, the agent is removed, and the treated area is reassessed by ultrasound. The procedure typically takes approximately 20–30 minutes.
Contraindications
- suspected ovarian or adnexal malignancy;
- active pelvic infection;
- severe uncorrected coagulation disorders;
- inability to safely obtain transvaginal access;
- pregnancy in certain clinical situations;
- medical conditions that significantly increase procedural risk.
The final decision is made by the treating specialist based on clinical and imaging assessment.
Benefits
- minimally invasive approach;
- avoids extensive surgical intervention;
- rapid recovery;
- reduction in cyst size and associated symptoms;
- lower recurrence risk compared with simple aspiration alone;
- preservation of functional ovarian tissue;
- potential fertility preservation.
Limitations
- not suitable for lesions suspicious for malignancy;
- cyst recurrence remains possible;
- effectiveness may vary depending on cyst type and size;
- some patients may require additional treatment or surgery;
- does not address the underlying cause of certain conditions, such as endometriosis.
Medical sources:
https://pubmed.ncbi.nlm.nih.gov/31660708/
https://pubmed.ncbi.nlm.nih.gov/2407412/
https://radiologykey.com/ovarian-drainage-cyst-aspiration/
https://pubmed.ncbi.nlm.nih.gov/26496806/
https://clinicaltrials.gov/study/NCT06988280
https://academic.oup.com/humrep/article/39/4/733/7603334
Preparation:
Patients should provide all relevant medical records, including previous imaging studies and consultation reports. The physician should be informed about current medications, allergies, coagulation disorders, anticoagulant therapy, and possible pregnancy.
Depending on the clinical situation, blood tests, coagulation studies, tumor markers, and other investigations may be required. If the procedure is performed under conscious sedation, fasting instructions provided by the medical team must be followed. Regular medications should not be discontinued without the physician’s approval.
