Ovarian cyst puncture

Ovarian cysts are benign neoplasms. They have a hollow structure and are filled with liquid or semi-liquid substances. Depending on their clinical characteristics, some require only follow-up monitoring, while others need aspiration or surgical removal.

Ovarian cyst aspiration is a minimally invasive procedure that can be performed for diagnostic and/or therapeutic purposes. It involves extracting the contents of the cyst using a thin needle equipped with an aspiration mechanism. If indicated, a sclerosing agent—an alcohol-based solution—is then injected to adhere the cyst walls and promote its subsequent resorption.

At Oxford Medical, ovarian cyst aspiration is performed under continuous ultrasound guidance. An expert-level ultrasound device ensures high-quality visualization, allowing the surgeon to perform the procedure with maximum precision.

Most often, ovarian cyst aspiration is performed for diagnostic purposes. Analyzing the cyst’s contents helps determine its nature and the risk of malignancy. Aspiration may also be used as a treatment for small, single-chamber cysts with thin walls.

The main indications for ovarian cyst aspiration include:

• cyst size from 5 to 20 mm;

• suspected high risk of malignancy;

• no positive dynamics within 3 months;

• inefficiency of conservative therapy;

• cyst enlargement;

• development of new cysts;

• pain syndrome;

• development of cysts during menopause;

• risk of cyst rupture.

In each case, the gynecologist determines individually which method of ovarian cyst treatment is optimal. In particular, with the above indications, aspiration may be prescribed for diagnosis, based on which surgical removal of the ovarian cyst may be recommended.

Ovarian cyst aspiration is performed transvaginally. General anesthesia is used, and in rare cases—local anesthesia.

The procedure is carried out as follows:

• Ultrasound is used to determine the exact location of the cyst.

• Under constant ultrasound guidance, a special needle is inserted to puncture the cyst.

• The contents of the cyst are aspirated using a suction system.

• If sclerotherapy is planned, a solution is injected that “glues” the cyst walls together, causing the cyst to gradually resorb.

• The aspirated contents are sent to a laboratory for analysis.

At Oxford Medical, ovarian cyst aspiration is performed by gynecologist-surgeons with over 20 years of experience. Thanks to this and the use of expert-class ultrasound equipment, the procedure is carried out with maximum precision, which almost completely eliminates the risk of complications.

Before the aspiration, the patient undergoes a comprehensive examination, which can be completed at the same clinic in 1–2 days. Equipment from leading European and American manufacturers allows for the detection of cysts and other neoplasms starting from 1 mm in size, and their location is determined with the same accuracy. Diagnostic accuracy is the key to selecting the most effective treatment.

Advantages of undergoing aspiration at Oxford Medical include:

• the procedure is performed by gynecologist-surgeons with more than 20 years of experience;

• use of expert-class equipment;

• preliminary diagnostics carried out in one clinic within 1–2 days;

• comfortable conditions in inpatient facilities with single and double hotel-style rooms;

• loyalty program for regular patients.

Ovarian cysts are most often diagnosed during ultrasound. This allows visualization of the neoplasm, but to determine its nature, additional tests are required.

Depending on the case, the patient may be prescribed:

• Doppler ultrasound of the pelvic organs;

• computed tomography (CT);

• laboratory tests.

Based on the results, the physician determines the treatment strategy, including whether aspiration is necessary for more accurate diagnosis and/or treatment.

Preparation for aspiration includes:

• discontinuing medications that affect blood clotting 1–2 weeks prior;

• abstaining from sexual intercourse for 5 days;

• avoiding alcohol for at least 3 days;

• light diet for 1–2 days and fasting on the day of the procedure.

The doctor may also provide individual recommendations.

Ovarian aspiration has a relatively easy and short recovery period. Since it is performed under general anesthesia, the patient is advised to stay in the hospital for one day. After that, she can go home and return to normal life within a few days (according to individual medical advice).

Within 2–3 days after aspiration, it is normal to experience a feeling of heaviness or dull pain in the lower abdomen, slight spotting, and general weakness. These are considered normal. If severe pain, bleeding, fever, or other concerning symptoms occur, medical attention should be sought.

You can find the cost of ovarian cyst aspiration at Oxford Medical [here]. We follow a policy of affordable pricing and strive to make high-quality medical care in comfortable conditions accessible to all patients.

The gynecologist will provide more precise information about treatment options and costs during the initial consultation. Schedule an appointment at a convenient time by calling our contact center or submitting a request on the website.