Should you pop a cyst at home. What are the risks of popping cysts. How can you treat a cyst without popping it. When should you seek medical attention for a cyst. What professional treatments are available for cysts.

Understanding Epidermoid Cysts: Causes and Characteristics

Epidermoid cysts, often mistakenly called sebaceous cysts, are noncancerous lumps that develop beneath the skin. These cysts originate within hair follicles and can appear on various parts of the body. While they’re generally harmless, they can sometimes become inflamed, causing discomfort and cosmetic concerns.

What exactly causes epidermoid cysts? These cysts form when skin cells that normally move up to the surface and shed instead move deeper into the skin and multiply. This results in a sac filled with keratin, a protein that’s a key component of skin, hair, and nails.

Common Locations for Cysts

• Face
• Back
• Neck
• Scalp
• Chest
• Genitals

The Dangers of Popping Cysts at Home

When faced with an uncomfortable or unsightly cyst, many people are tempted to pop it themselves. However, this DIY approach can lead to serious complications. Why is popping a cyst at home risky?

1. Increased risk of infection: Breaking the skin barrier allows bacteria to enter, potentially causing a more severe infection.
2. Scarring: Improper cyst removal can leave permanent scars.
3. Incomplete removal: Without proper technique, the cyst wall may remain, leading to recurrence.
4. Pain: Popping a cyst can be extremely painful, especially if it’s inflamed.
5. Spread of contents: Squeezing a cyst can cause its contents to spread under the skin, making future removal more difficult.

Given these risks, healthcare professionals strongly advise against attempting to pop cysts at home. Instead, there are several safer alternatives for managing cysts and alleviating associated symptoms.

Safe Home Remedies for Cyst Management

While it’s best to avoid popping cysts, there are several home remedies that can help manage symptoms and potentially promote healing. These methods are particularly useful for cysts on the face, back, and neck.

Warm Compresses

How can warm compresses help with cysts? Applying a warm compress to the affected area can help reduce inflammation and promote drainage. This method is simple yet effective:

1. Soak a clean towel or washcloth in warm water.
2. Wring out excess water.
3. Gently place the compress on the cyst for up to 10 minutes.
4. Repeat this process 3-4 times daily, using a fresh, clean cloth each time.

Warm compresses can also help alleviate pain and discomfort associated with inflamed cysts.

Cold Compresses

For cysts that are particularly swollen or painful, cold therapy can be beneficial. How does cold therapy work for cysts?

Cold compresses help reduce swelling by constricting blood vessels and decreasing inflammation. To apply a cold compress:

1. Wrap an ice pack or bag of frozen vegetables in a clean towel.
2. Apply to the cyst for up to 10 minutes at a time.
3. Repeat 3-4 times daily, always using a clean towel.

For optimal results, consider alternating between warm and cold compresses throughout the day. This contrast therapy can be particularly effective in managing inflammation and discomfort.

Proper Hygiene

Maintaining good hygiene is crucial when dealing with cysts. How can you keep the affected area clean without irritating the cyst?

• Wash the skin daily with lukewarm water and a gentle, fragrance-free soap or cleanser.
• Use gentle, circular motions when cleaning the area.
• Avoid harsh chemicals or fragranced products that may irritate the skin.
• Refrain from scrubbing or using exfoliating products on the cyst, as this can worsen inflammation.

If the cyst begins to drain on its own, avoid touching or squeezing it. Instead, keep the area clean and consider covering it with a sterile bandage to prevent infection.

When to Seek Medical Attention for a Cyst

While many cysts resolve on their own or with home care, certain situations warrant professional medical attention. When should you consult a doctor about a cyst?

• Rapid growth: If the cyst is growing quickly, it may require medical evaluation.
• Rupture: A ruptured cyst can lead to infection and should be assessed by a healthcare provider.
• Severe pain or tenderness: Intense pain may indicate infection or other complications.
• Signs of infection: Redness, warmth, and pus are signs that the cyst may be infected.
• Cosmetic concerns: Large or visible cysts causing self-consciousness may benefit from medical treatment.
• Interference with daily activities: Cysts in areas that frequently rub against clothing or impede movement should be evaluated.

In these cases, it’s best to consult with a dermatologist or primary care physician for proper diagnosis and treatment.

Professional Medical Treatments for Cysts

When home remedies are ineffective or a cyst requires medical intervention, healthcare professionals have several treatment options at their disposal. What are the most common medical treatments for cysts?

Cortisone Injections

Corticosteroid injections can be an effective treatment for inflamed cysts. How do cortisone shots work for cysts?

A doctor injects a small amount of anti-inflammatory medication directly into the cyst or surrounding area. This procedure is quick, typically causes minimal pain, and can significantly reduce the size of the cyst.

Incision and Drainage

While sometimes used, incision and drainage is generally not the preferred treatment for cysts. Why is this method discouraged?

• It leaves a permanent scar
• The cyst contents may spread to surrounding areas
• It doesn’t address the root cause, often leading to recurrence
• It can make future removal more challenging

Surgical Excision

Surgical excision is considered the most effective treatment for epidermoid cysts. What does this procedure involve?

A minor surgical procedure is performed to remove the entire cyst, including its wall. This approach offers the best chance of preventing recurrence. However, doctors typically wait for any inflammation to subside before performing the excision, usually 4-6 weeks after acute symptoms resolve.

Medications

In cases of inflammation or infection, a doctor may prescribe medications. What types of medications are used to treat cysts?

• Antibiotics: To combat bacterial infections associated with inflamed cysts
• Anti-inflammatory drugs: To reduce swelling and discomfort

These medications are typically prescribed for 1-2 weeks and can help manage acute symptoms while preparing for more definitive treatment.

Prevention and Long-Term Management of Cysts

While it’s not always possible to prevent cysts from forming, there are steps you can take to reduce their occurrence and manage existing cysts effectively. How can you minimize your risk of developing cysts?

• Maintain good skin hygiene: Regular cleansing can help prevent clogged pores and follicles.
• Avoid picking or squeezing: This can introduce bacteria and increase the risk of cyst formation.
• Use non-comedogenic products: These are less likely to clog pores and contribute to cyst development.
• Stay hydrated: Proper hydration supports overall skin health.
• Manage stress: Some people find that stress exacerbates skin issues, including cyst formation.

For those prone to recurring cysts, working with a dermatologist to develop a long-term management plan can be beneficial. This may include regular check-ups, preventive treatments, and personalized skincare recommendations.

Understanding the Impact of Cysts on Quality of Life

While cysts are often considered a minor medical issue, they can have a significant impact on an individual’s quality of life. How do cysts affect daily living and emotional well-being?

• Physical discomfort: Pain and tenderness from cysts can interfere with daily activities.
• Cosmetic concerns: Visible cysts may cause self-consciousness and affect self-esteem.
• Anxiety: Worry about cyst growth or recurrence can be stressful.
• Social impact: Cysts in visible areas may lead to social withdrawal or embarrassment.

It’s important to address both the physical and emotional aspects of cyst management. If a cyst is causing significant distress, don’t hesitate to discuss these concerns with a healthcare provider. They can offer support and explore treatment options that address both the physical symptoms and the emotional impact of cysts.

Myths and Misconceptions About Cysts

There are many myths surrounding cysts that can lead to misunderstanding and improper treatment. What are some common misconceptions about cysts?

• Myth: All lumps under the skin are cysts.
• Fact: Many different types of growths can occur under the skin, including lipomas, abscesses, and even tumors. Professional diagnosis is crucial.

• Myth: Cysts are always caused by poor hygiene.
• Fact: While good hygiene can help prevent some cysts, many are caused by factors beyond an individual’s control, such as genetics or hormonal changes.

• Myth: Popping a cyst will make it go away permanently.
• Fact: Popping a cyst at home often leads to recurrence and can cause complications like infection and scarring.

• Myth: All cysts require immediate medical attention.
• Fact: Many cysts are harmless and may resolve on their own. However, it’s important to monitor them and seek medical advice if there are concerning changes.

• Myth: Cysts are contagious.
• Fact: Epidermoid cysts are not contagious and cannot be spread from person to person.

Understanding these facts can help individuals make informed decisions about cyst management and when to seek professional care.

Future Developments in Cyst Treatment

As medical research advances, new treatments for cysts are being explored. What potential future developments might we see in cyst management?

• Minimally invasive techniques: Researchers are exploring less invasive methods for cyst removal that minimize scarring and recovery time.
• Targeted medications: New drugs that specifically target the mechanisms of cyst formation are under investigation.
• Biological therapies: Treatments that harness the body’s own healing processes to resolve cysts are being studied.
• Advanced imaging techniques: Improved imaging may allow for earlier detection and more precise treatment of cysts.
• Personalized treatment plans: As we learn more about the genetic factors influencing cyst formation, treatments may become more tailored to individual patients.

While these developments are promising, it’s important to remember that current treatment options, when used appropriately, are often effective in managing cysts. Always consult with a healthcare professional for the most up-to-date and appropriate treatment for your specific situation.

Alternatives to popping a cyst at home: Face, back, and neck

An epidermoid cyst, commonly and incorrectly referred to as a sebaceous cyst, is a noncancerous lump beneath the skin that originates within a hair follicle. Cysts can develop on almost any part of the body.

An epidermoid cyst and the area around it sometimes become inflamed. This can cause pain, swelling, and redness. Some people try to pop these cysts to reduce discomfort. However, picking or squeezing a cyst increases the risk of infection and scarring.

Other techniques, such as using compresses, can reduce the inflammation and help a cyst heal on its own. If these steps are ineffective, a doctor may prescribe medication or recommend removing the cyst.

If an epidermoid cyst is not causing any symptoms, there is no need to treat it. It may shrink on its own, but unless a doctor removes it, it may grow back in the future.

Cysts commonly form on the face, back, and neck. The following treatments are suitable for use on any area of the body.

A warm compress may help ease inflammation in a cyst.

To use a warm compress, try the following:

1. Soak a clean towel or washcloth in warm water.
2. Wring the water from the cloth.
3. Place it gently on the cyst. Leave it in place for up to 10 minutes.
4. Repeat the treatment 3–4 times each day, using a clean washcloth each time.

A compress may also help relieve any pain or discomfort.

When a cyst becomes inflamed, it can be uncomfortable, and a person may find the appearance unsightly. Ice can help reduce the swelling, making the cyst less painful.

To bring down swelling, try the following:

1. Wrap an ice pack or bag of frozen vegetables in a clean towel.
2. Place this on the cyst for up to 10 minutes at a time.
3. Repeat the treatment 3–4 times per day, using a clean towel each time.

Alternate between warm and cold compresses throughout the day to ease the inflammation. Never apply a frozen product directly to the skin, as this can cause skin damage.

Keeping the skin around the cyst clean may prevent infection.

To keep the skin clean, try the following:

1. Wash the skin daily with lukewarm water and a gentle soap or cleanser.
2. Use gentle, circular motions when washing the skin.
3. Avoid products with fragrances or other harsh chemicals, as these can cause skin irritation.
4. Never scrub the cyst or use harsh exfoliating products on it, as these can make inflammation worse.

If the cyst starts to ooze or drain, avoid touching or squeezing it. Touching an open cyst increases the risk of bacteria entering it and possibly causing infection.

Keep the skin around the cyst clean. It may help to cover the area with a bandage.

Share on PinterestA person should seek medical advice if a cyst becomes infected or inflamed.

Most cysts do not require medical attention.

They typically improve on their own, and a person can take some steps to reduce inflammation and discomfort.

However, see a doctor if the cyst:

• gets bigger quickly
• ruptures
• is very painful or tender
• becomes infected or inflamed
• causes cosmetic concern
• is large and in an area that rubs against clothing

In any of these situations, seek medical advice.

If home treatments are ineffective, and if a cyst does not improve on its own, a doctor may use one or more of the following treatments:

Cortisone or steroid shot

A doctor will inject a corticosteroid, which is an anti-inflammatory medication, into the cyst or surrounding area using a very small needle.

The procedure is very quick and typically causes minimal pain. The lump should reduce in size following the injection.

Incision and drainage

To drain a cyst, the doctor may first apply a local anesthetic to the skin. They then make a tiny cut in the cyst and remove the fluid. However, the medical community discourages this for a few reasons.

First, the incision leaves a permanent scar. Second, this technique can allow the contents of the cyst to spill into the surrounding area. Ultimately, it may make removal of the cyst more difficult in the future.

Also, incision and drainage does not address the root of the problem, which requires the removal of the cyst. If a doctor employs this technique, the cyst will more than likely reoccur and may again become inflamed.

Surgical excision

A minor surgical procedure called excision is the best treatment for cysts such as epidermoid cysts. Excision involves removing the entire cyst, and it is the most effective treatment.

A doctor typically avoids excision when the cyst has signs of inflammation and infection. They usually wait a minimum of 4–6 weeks for the inflammation to resolve before removing the cyst.

Medications

When inflammation is acute, a person may benefit from prescription medication, such as antibiotics.

If a cyst has signs of inflammation, a physician may order an antibiotic. Usually, a person completes the course of the antibiotic in 1–2 weeks.

With treatment, epidermoid cysts should begin to get better within a few days or weeks.

However, even if a cyst shrinks, it may reoccur and become inflamed in the future. To get rid of a cyst entirely, a doctor will have to remove it, in a procedure called excision.

If an isolated cyst forms on the back, neck, or face, it is most likely an epidermoid cyst, a type of harmless cyst that develops beneath the skin.

Skin cysts are not typically a sign of a serious health issue, but they can be uncomfortable. Depending on their location, they may also make a person feel self-conscious.

While it may be possible to improve the symptoms of an inflamed cyst at home, a visit to the doctor may be necessary in the short term to reduce the inflammation.

To prevent the cyst from reforming, a doctor will have to remove it.

Anyone with concerns about their skin should see a doctor, such as a dermatologist, for evaluation and treatment.

Alternatives to popping a cyst at home: Face, back, and neck

An epidermoid cyst, commonly and incorrectly referred to as a sebaceous cyst, is a noncancerous lump beneath the skin that originates within a hair follicle. Cysts can develop on almost any part of the body.

An epidermoid cyst and the area around it sometimes become inflamed. This can cause pain, swelling, and redness. Some people try to pop these cysts to reduce discomfort. However, picking or squeezing a cyst increases the risk of infection and scarring.

Other techniques, such as using compresses, can reduce the inflammation and help a cyst heal on its own. If these steps are ineffective, a doctor may prescribe medication or recommend removing the cyst.

If an epidermoid cyst is not causing any symptoms, there is no need to treat it. It may shrink on its own, but unless a doctor removes it, it may grow back in the future.

Cysts commonly form on the face, back, and neck. The following treatments are suitable for use on any area of the body.

A warm compress may help ease inflammation in a cyst.

To use a warm compress, try the following:

1. Soak a clean towel or washcloth in warm water.
2. Wring the water from the cloth.
3. Place it gently on the cyst. Leave it in place for up to 10 minutes.
4. Repeat the treatment 3–4 times each day, using a clean washcloth each time.

A compress may also help relieve any pain or discomfort.

When a cyst becomes inflamed, it can be uncomfortable, and a person may find the appearance unsightly. Ice can help reduce the swelling, making the cyst less painful.

To bring down swelling, try the following:

1. Wrap an ice pack or bag of frozen vegetables in a clean towel.
2. Place this on the cyst for up to 10 minutes at a time.
3. Repeat the treatment 3–4 times per day, using a clean towel each time.

Alternate between warm and cold compresses throughout the day to ease the inflammation. Never apply a frozen product directly to the skin, as this can cause skin damage.

Keeping the skin around the cyst clean may prevent infection.

To keep the skin clean, try the following:

1. Wash the skin daily with lukewarm water and a gentle soap or cleanser.
2. Use gentle, circular motions when washing the skin.
3. Avoid products with fragrances or other harsh chemicals, as these can cause skin irritation.
4. Never scrub the cyst or use harsh exfoliating products on it, as these can make inflammation worse.

If the cyst starts to ooze or drain, avoid touching or squeezing it. Touching an open cyst increases the risk of bacteria entering it and possibly causing infection.

Keep the skin around the cyst clean. It may help to cover the area with a bandage.

Share on PinterestA person should seek medical advice if a cyst becomes infected or inflamed.

Most cysts do not require medical attention.

They typically improve on their own, and a person can take some steps to reduce inflammation and discomfort.

However, see a doctor if the cyst:

• gets bigger quickly
• ruptures
• is very painful or tender
• becomes infected or inflamed
• causes cosmetic concern
• is large and in an area that rubs against clothing

In any of these situations, seek medical advice.

If home treatments are ineffective, and if a cyst does not improve on its own, a doctor may use one or more of the following treatments:

Cortisone or steroid shot

A doctor will inject a corticosteroid, which is an anti-inflammatory medication, into the cyst or surrounding area using a very small needle.

The procedure is very quick and typically causes minimal pain. The lump should reduce in size following the injection.

Incision and drainage

To drain a cyst, the doctor may first apply a local anesthetic to the skin. They then make a tiny cut in the cyst and remove the fluid. However, the medical community discourages this for a few reasons.

First, the incision leaves a permanent scar. Second, this technique can allow the contents of the cyst to spill into the surrounding area. Ultimately, it may make removal of the cyst more difficult in the future.

Also, incision and drainage does not address the root of the problem, which requires the removal of the cyst. If a doctor employs this technique, the cyst will more than likely reoccur and may again become inflamed.

Surgical excision

A minor surgical procedure called excision is the best treatment for cysts such as epidermoid cysts. Excision involves removing the entire cyst, and it is the most effective treatment.

A doctor typically avoids excision when the cyst has signs of inflammation and infection. They usually wait a minimum of 4–6 weeks for the inflammation to resolve before removing the cyst.

Medications

When inflammation is acute, a person may benefit from prescription medication, such as antibiotics.

If a cyst has signs of inflammation, a physician may order an antibiotic. Usually, a person completes the course of the antibiotic in 1–2 weeks.

With treatment, epidermoid cysts should begin to get better within a few days or weeks.

However, even if a cyst shrinks, it may reoccur and become inflamed in the future. To get rid of a cyst entirely, a doctor will have to remove it, in a procedure called excision.

If an isolated cyst forms on the back, neck, or face, it is most likely an epidermoid cyst, a type of harmless cyst that develops beneath the skin.

Skin cysts are not typically a sign of a serious health issue, but they can be uncomfortable. Depending on their location, they may also make a person feel self-conscious.

While it may be possible to improve the symptoms of an inflamed cyst at home, a visit to the doctor may be necessary in the short term to reduce the inflammation.

To prevent the cyst from reforming, a doctor will have to remove it.

Anyone with concerns about their skin should see a doctor, such as a dermatologist, for evaluation and treatment.

Alternatives to popping a cyst at home: Face, back, and neck

An epidermoid cyst, commonly and incorrectly referred to as a sebaceous cyst, is a noncancerous lump beneath the skin that originates within a hair follicle. Cysts can develop on almost any part of the body.

An epidermoid cyst and the area around it sometimes become inflamed. This can cause pain, swelling, and redness. Some people try to pop these cysts to reduce discomfort. However, picking or squeezing a cyst increases the risk of infection and scarring.

Other techniques, such as using compresses, can reduce the inflammation and help a cyst heal on its own. If these steps are ineffective, a doctor may prescribe medication or recommend removing the cyst.

If an epidermoid cyst is not causing any symptoms, there is no need to treat it. It may shrink on its own, but unless a doctor removes it, it may grow back in the future.

Cysts commonly form on the face, back, and neck. The following treatments are suitable for use on any area of the body.

A warm compress may help ease inflammation in a cyst.

To use a warm compress, try the following:

1. Soak a clean towel or washcloth in warm water.
2. Wring the water from the cloth.
3. Place it gently on the cyst. Leave it in place for up to 10 minutes.
4. Repeat the treatment 3–4 times each day, using a clean washcloth each time.

A compress may also help relieve any pain or discomfort.

When a cyst becomes inflamed, it can be uncomfortable, and a person may find the appearance unsightly. Ice can help reduce the swelling, making the cyst less painful.

To bring down swelling, try the following:

1. Wrap an ice pack or bag of frozen vegetables in a clean towel.
2. Place this on the cyst for up to 10 minutes at a time.
3. Repeat the treatment 3–4 times per day, using a clean towel each time.

Alternate between warm and cold compresses throughout the day to ease the inflammation. Never apply a frozen product directly to the skin, as this can cause skin damage.

Keeping the skin around the cyst clean may prevent infection.

To keep the skin clean, try the following:

1. Wash the skin daily with lukewarm water and a gentle soap or cleanser.
2. Use gentle, circular motions when washing the skin.
3. Avoid products with fragrances or other harsh chemicals, as these can cause skin irritation.
4. Never scrub the cyst or use harsh exfoliating products on it, as these can make inflammation worse.

If the cyst starts to ooze or drain, avoid touching or squeezing it. Touching an open cyst increases the risk of bacteria entering it and possibly causing infection.

Keep the skin around the cyst clean. It may help to cover the area with a bandage.

Share on PinterestA person should seek medical advice if a cyst becomes infected or inflamed.

Most cysts do not require medical attention.

They typically improve on their own, and a person can take some steps to reduce inflammation and discomfort.

However, see a doctor if the cyst:

• gets bigger quickly
• ruptures
• is very painful or tender
• becomes infected or inflamed
• causes cosmetic concern
• is large and in an area that rubs against clothing

In any of these situations, seek medical advice.

If home treatments are ineffective, and if a cyst does not improve on its own, a doctor may use one or more of the following treatments:

Cortisone or steroid shot

A doctor will inject a corticosteroid, which is an anti-inflammatory medication, into the cyst or surrounding area using a very small needle.

The procedure is very quick and typically causes minimal pain. The lump should reduce in size following the injection.

Incision and drainage

To drain a cyst, the doctor may first apply a local anesthetic to the skin. They then make a tiny cut in the cyst and remove the fluid. However, the medical community discourages this for a few reasons.

First, the incision leaves a permanent scar. Second, this technique can allow the contents of the cyst to spill into the surrounding area. Ultimately, it may make removal of the cyst more difficult in the future.

Also, incision and drainage does not address the root of the problem, which requires the removal of the cyst. If a doctor employs this technique, the cyst will more than likely reoccur and may again become inflamed.

Surgical excision

A minor surgical procedure called excision is the best treatment for cysts such as epidermoid cysts. Excision involves removing the entire cyst, and it is the most effective treatment.

A doctor typically avoids excision when the cyst has signs of inflammation and infection. They usually wait a minimum of 4–6 weeks for the inflammation to resolve before removing the cyst.

Medications

When inflammation is acute, a person may benefit from prescription medication, such as antibiotics.

If a cyst has signs of inflammation, a physician may order an antibiotic. Usually, a person completes the course of the antibiotic in 1–2 weeks.

With treatment, epidermoid cysts should begin to get better within a few days or weeks.

However, even if a cyst shrinks, it may reoccur and become inflamed in the future. To get rid of a cyst entirely, a doctor will have to remove it, in a procedure called excision.

If an isolated cyst forms on the back, neck, or face, it is most likely an epidermoid cyst, a type of harmless cyst that develops beneath the skin.

Skin cysts are not typically a sign of a serious health issue, but they can be uncomfortable. Depending on their location, they may also make a person feel self-conscious.

While it may be possible to improve the symptoms of an inflamed cyst at home, a visit to the doctor may be necessary in the short term to reduce the inflammation.

To prevent the cyst from reforming, a doctor will have to remove it.

Anyone with concerns about their skin should see a doctor, such as a dermatologist, for evaluation and treatment.

Alternatives to popping a cyst at home: Face, back, and neck

An epidermoid cyst, commonly and incorrectly referred to as a sebaceous cyst, is a noncancerous lump beneath the skin that originates within a hair follicle. Cysts can develop on almost any part of the body.

An epidermoid cyst and the area around it sometimes become inflamed. This can cause pain, swelling, and redness. Some people try to pop these cysts to reduce discomfort. However, picking or squeezing a cyst increases the risk of infection and scarring.

Other techniques, such as using compresses, can reduce the inflammation and help a cyst heal on its own. If these steps are ineffective, a doctor may prescribe medication or recommend removing the cyst.

If an epidermoid cyst is not causing any symptoms, there is no need to treat it. It may shrink on its own, but unless a doctor removes it, it may grow back in the future.

Cysts commonly form on the face, back, and neck. The following treatments are suitable for use on any area of the body.

A warm compress may help ease inflammation in a cyst.

To use a warm compress, try the following:

1. Soak a clean towel or washcloth in warm water.
2. Wring the water from the cloth.
3. Place it gently on the cyst. Leave it in place for up to 10 minutes.
4. Repeat the treatment 3–4 times each day, using a clean washcloth each time.

A compress may also help relieve any pain or discomfort.

When a cyst becomes inflamed, it can be uncomfortable, and a person may find the appearance unsightly. Ice can help reduce the swelling, making the cyst less painful.

To bring down swelling, try the following:

1. Wrap an ice pack or bag of frozen vegetables in a clean towel.
2. Place this on the cyst for up to 10 minutes at a time.
3. Repeat the treatment 3–4 times per day, using a clean towel each time.

Alternate between warm and cold compresses throughout the day to ease the inflammation. Never apply a frozen product directly to the skin, as this can cause skin damage.

Keeping the skin around the cyst clean may prevent infection.

To keep the skin clean, try the following:

1. Wash the skin daily with lukewarm water and a gentle soap or cleanser.
2. Use gentle, circular motions when washing the skin.
3. Avoid products with fragrances or other harsh chemicals, as these can cause skin irritation.
4. Never scrub the cyst or use harsh exfoliating products on it, as these can make inflammation worse.

If the cyst starts to ooze or drain, avoid touching or squeezing it. Touching an open cyst increases the risk of bacteria entering it and possibly causing infection.

Keep the skin around the cyst clean. It may help to cover the area with a bandage.

Share on PinterestA person should seek medical advice if a cyst becomes infected or inflamed.

Most cysts do not require medical attention.

They typically improve on their own, and a person can take some steps to reduce inflammation and discomfort.

However, see a doctor if the cyst:

• gets bigger quickly
• ruptures
• is very painful or tender
• becomes infected or inflamed
• causes cosmetic concern
• is large and in an area that rubs against clothing

In any of these situations, seek medical advice.

If home treatments are ineffective, and if a cyst does not improve on its own, a doctor may use one or more of the following treatments:

Cortisone or steroid shot

A doctor will inject a corticosteroid, which is an anti-inflammatory medication, into the cyst or surrounding area using a very small needle.

The procedure is very quick and typically causes minimal pain. The lump should reduce in size following the injection.

Incision and drainage

To drain a cyst, the doctor may first apply a local anesthetic to the skin. They then make a tiny cut in the cyst and remove the fluid. However, the medical community discourages this for a few reasons.

First, the incision leaves a permanent scar. Second, this technique can allow the contents of the cyst to spill into the surrounding area. Ultimately, it may make removal of the cyst more difficult in the future.

Also, incision and drainage does not address the root of the problem, which requires the removal of the cyst. If a doctor employs this technique, the cyst will more than likely reoccur and may again become inflamed.

Surgical excision

A minor surgical procedure called excision is the best treatment for cysts such as epidermoid cysts. Excision involves removing the entire cyst, and it is the most effective treatment.

A doctor typically avoids excision when the cyst has signs of inflammation and infection. They usually wait a minimum of 4–6 weeks for the inflammation to resolve before removing the cyst.

Medications

When inflammation is acute, a person may benefit from prescription medication, such as antibiotics.

If a cyst has signs of inflammation, a physician may order an antibiotic. Usually, a person completes the course of the antibiotic in 1–2 weeks.

With treatment, epidermoid cysts should begin to get better within a few days or weeks.

However, even if a cyst shrinks, it may reoccur and become inflamed in the future. To get rid of a cyst entirely, a doctor will have to remove it, in a procedure called excision.

If an isolated cyst forms on the back, neck, or face, it is most likely an epidermoid cyst, a type of harmless cyst that develops beneath the skin.

Skin cysts are not typically a sign of a serious health issue, but they can be uncomfortable. Depending on their location, they may also make a person feel self-conscious.

While it may be possible to improve the symptoms of an inflamed cyst at home, a visit to the doctor may be necessary in the short term to reduce the inflammation.

To prevent the cyst from reforming, a doctor will have to remove it.

Anyone with concerns about their skin should see a doctor, such as a dermatologist, for evaluation and treatment.

Alternatives to popping a cyst at home: Face, back, and neck

An epidermoid cyst, commonly and incorrectly referred to as a sebaceous cyst, is a noncancerous lump beneath the skin that originates within a hair follicle. Cysts can develop on almost any part of the body.

An epidermoid cyst and the area around it sometimes become inflamed. This can cause pain, swelling, and redness. Some people try to pop these cysts to reduce discomfort. However, picking or squeezing a cyst increases the risk of infection and scarring.

Other techniques, such as using compresses, can reduce the inflammation and help a cyst heal on its own. If these steps are ineffective, a doctor may prescribe medication or recommend removing the cyst.

If an epidermoid cyst is not causing any symptoms, there is no need to treat it. It may shrink on its own, but unless a doctor removes it, it may grow back in the future.

Cysts commonly form on the face, back, and neck. The following treatments are suitable for use on any area of the body.

A warm compress may help ease inflammation in a cyst.

To use a warm compress, try the following:

1. Soak a clean towel or washcloth in warm water.
2. Wring the water from the cloth.
3. Place it gently on the cyst. Leave it in place for up to 10 minutes.
4. Repeat the treatment 3–4 times each day, using a clean washcloth each time.

A compress may also help relieve any pain or discomfort.

When a cyst becomes inflamed, it can be uncomfortable, and a person may find the appearance unsightly. Ice can help reduce the swelling, making the cyst less painful.

To bring down swelling, try the following:

1. Wrap an ice pack or bag of frozen vegetables in a clean towel.
2. Place this on the cyst for up to 10 minutes at a time.
3. Repeat the treatment 3–4 times per day, using a clean towel each time.

Alternate between warm and cold compresses throughout the day to ease the inflammation. Never apply a frozen product directly to the skin, as this can cause skin damage.

Keeping the skin around the cyst clean may prevent infection.

To keep the skin clean, try the following:

1. Wash the skin daily with lukewarm water and a gentle soap or cleanser.
2. Use gentle, circular motions when washing the skin.
3. Avoid products with fragrances or other harsh chemicals, as these can cause skin irritation.
4. Never scrub the cyst or use harsh exfoliating products on it, as these can make inflammation worse.

If the cyst starts to ooze or drain, avoid touching or squeezing it. Touching an open cyst increases the risk of bacteria entering it and possibly causing infection.

Keep the skin around the cyst clean. It may help to cover the area with a bandage.

Share on PinterestA person should seek medical advice if a cyst becomes infected or inflamed.

Most cysts do not require medical attention.

They typically improve on their own, and a person can take some steps to reduce inflammation and discomfort.

However, see a doctor if the cyst:

• gets bigger quickly
• ruptures
• is very painful or tender
• becomes infected or inflamed
• causes cosmetic concern
• is large and in an area that rubs against clothing

In any of these situations, seek medical advice.

If home treatments are ineffective, and if a cyst does not improve on its own, a doctor may use one or more of the following treatments:

Cortisone or steroid shot

A doctor will inject a corticosteroid, which is an anti-inflammatory medication, into the cyst or surrounding area using a very small needle.

The procedure is very quick and typically causes minimal pain. The lump should reduce in size following the injection.

Incision and drainage

To drain a cyst, the doctor may first apply a local anesthetic to the skin. They then make a tiny cut in the cyst and remove the fluid. However, the medical community discourages this for a few reasons.

First, the incision leaves a permanent scar. Second, this technique can allow the contents of the cyst to spill into the surrounding area. Ultimately, it may make removal of the cyst more difficult in the future.

Also, incision and drainage does not address the root of the problem, which requires the removal of the cyst. If a doctor employs this technique, the cyst will more than likely reoccur and may again become inflamed.

Surgical excision

A minor surgical procedure called excision is the best treatment for cysts such as epidermoid cysts. Excision involves removing the entire cyst, and it is the most effective treatment.

A doctor typically avoids excision when the cyst has signs of inflammation and infection. They usually wait a minimum of 4–6 weeks for the inflammation to resolve before removing the cyst.

Medications

When inflammation is acute, a person may benefit from prescription medication, such as antibiotics.

If a cyst has signs of inflammation, a physician may order an antibiotic. Usually, a person completes the course of the antibiotic in 1–2 weeks.

With treatment, epidermoid cysts should begin to get better within a few days or weeks.

However, even if a cyst shrinks, it may reoccur and become inflamed in the future. To get rid of a cyst entirely, a doctor will have to remove it, in a procedure called excision.

If an isolated cyst forms on the back, neck, or face, it is most likely an epidermoid cyst, a type of harmless cyst that develops beneath the skin.

Skin cysts are not typically a sign of a serious health issue, but they can be uncomfortable. Depending on their location, they may also make a person feel self-conscious.

While it may be possible to improve the symptoms of an inflamed cyst at home, a visit to the doctor may be necessary in the short term to reduce the inflammation.

To prevent the cyst from reforming, a doctor will have to remove it.

Anyone with concerns about their skin should see a doctor, such as a dermatologist, for evaluation and treatment.

Skin cyst – NHS

A skin cyst is a fluid-filled lump just underneath the skin. It’s common and harmless, and may disappear without treatment.

It can be difficult to tell whether a lump is a cyst or something else that might need treatment.

You should therefore see a GP if you have any sort of lump so it can be properly diagnosed.

Cysts are sometimes confused with boils or skin abscesses.

Boils and abscesses are painful collections of pus that are caused by bacterial infections. A cyst may go on to become a boil or abscess.

What a cyst looks like

A skin cyst is a round, dome-shaped lump. It’s yellow or white, often with a small dark plug through which you might be able to squeeze out pus.

Cysts can range in size from smaller than a pea to a few centimetres across. They grow slowly.

Skin cysts do not usually hurt, but can become tender, sore and red if they become infected.

Foul-smelling pus coming out of the cyst is another sign of infection.

Types of skin cyst

Epidermoid cysts (one of the main types) are commonly found on the face, neck, chest, shoulders or skin around the genitals.

They affect young and middle-aged adults, and are particularly common in people with acne. They do not usually run in families.

Cysts that form around hair follicles are known as pilar cysts. They’re often found on the scalp.

Pilar cysts typically affect middle-aged adults, mostly women. Unlike epidermoid cysts, they run in families.

A cyst that forms on the eyelid is called a chalazion or meibomian cyst.

Why do cysts form?

Some of the cells in the top layer of skin produce keratin, a protein that gives skin its strength and flexibility.

Normally, these cells move up to the surface of the skin as they start to die so they can be shed.

But the cells sometimes move deeper into the skin and multiply, forming a sac.

They secrete keratin into the middle of the sac, which forms a thick, yellow paste. This can ooze out of the cyst if it’s burst.

Anyone can develop a skin cyst, but you’re more likely to have one if you’ve been through puberty, you have a history of acne, or you’ve injured the skin (for example, if you’ve damaged a hair follicle).

Skin cysts are not contagious.

What you can do if you have a skin cyst

Cysts are usually harmless. Small cysts that are not causing any problems can be left alone.

Holding a warm flannel against the skin will encourage the cyst to heal and reduce any inflammation.

Do not be tempted to burst the cyst. If it’s infected, you risk spreading the infection, and it can grow back if the sac is left underneath the skin.

Treatment for a skin cyst from a GP

See a GP if you think the cyst is infected. You may need a course of antibiotics.

Although some GP surgeries have minor surgery facilities, most do not remove cysts. You may be referred to a specialist, or you could pay for private treatment.

During a cyst removal, a local anaesthetic is used to numb the skin. A tiny cut is made in the skin and the cyst is squeezed out.

This procedure will leave a scar. The cyst may also grow back, particularly if it was removed from the scalp or scrotum.

Page last reviewed: 15 April 2020
Next review due: 15 April 2023

Dr Pimple Popper on how to pimple pop: Banish spots

Because if you’re going to do it, you need to do it right

We all know dermatologists and skin experts say not to pimple pop. But how many of us actually adhere to their advice, instead Googling how to pop a spot? If you’re honest with yourself, you’ll admit that there’s been more than one occasion where you’ve popped a pimple at home.

Thing is, there are a few things you should know before you pinch your fingers over that blemish. Which is why we sat down with the famous Dr Pimple Popper to find out exactly how to pimple pop at home, safely.

And when you’re done here, be sure to read Dr Pimple Popper’s maskne hack to help prevent blemishes from mask-wearing.

What’s the golden rule for how to pimple pop at home?

‘Let me start off by saying, that I don’t recommend that you pop your own pimples. However, I know that most of you won’t follow this recommendation. So I instead insist, “Know when to POP, and know when to STOP”.

‘If you really MUST, you shouldn’t pop anything on your face unless it has come to a white/yellow “head.” If the pimple has a head, at that point it is the easiest to extract, with the least risk of scarring, because the bump is very superficial to the surface of the skin.’

What is in a spot? And why does the gunk manifest?

‘Pus is composed of skin cells, bacteria, and inflammatory cells which are sent there by your immune system to fight off this localised bacterial infection in the skin.

‘It’s also a protein-rich fluid called liquor puris that is usually whitish-yellow, yellow, or sometimes a little yellow-brown in colour.’

What should you do once you’ve squeezed a spot? Should you dab with tissue, or leave to dry?

‘Clean the area with alcohol and leave the area alone, don’t keep squeezing it. You may want to apply a cool compress to help minimise the redness and irritation or use an over the counter topical steroid to minimise redness and inflammation.  Usually you know that a pimple has been completely drained if no more pus can be expressed, so if you see a little blood, stop squeezing.’

‘Once a pimple has been popped, be sure to keep the area clean and let it heal properly to avoid scarring. It will sting a little, but you can disinfect the area with rubbing alcohol after popping.’

Why does clear fluid come out if you squeeze a spot too much?

‘Clear fluid is just edema – fluid that accumulates in the area due to redness and swelling. It is not pus, and it is not an infection.’

What should I be aware of when I pimple pop?

‘If you have a red pimple that hurts to touch, and is deep under the skin, it’s pretty impossible to pop it at that point. Usually, if the pimple doesn’t have a head yet and is still under the skin, trying to extract it can not only be very painful, but you can cause irritation and even infection that will make it harder for the pimple to heal. Worse yet, if you really traumatize the skin, you risk scarring and that is likely permanent.’

What’s the difference between a cyst and a pimple?

‘Depends on what type of cyst we’re talking about. There is the cystic form of acne, which is a more severe form of acne vulgaris, and this type of acne created deeper, larger, more painful pimples under the skin that have a higher potential for scarring.’

‘The cysts that you see me remove on my YouTube channel, are more commonly other kinds of cysts, such as epidermoid cysts, pilar cysts, steatocystomas. There are many types of cysts, and these are very different from pimples, and each other.

‘Cysts in general should not be squeezed because squeezing won’t resolve them, and in fact, can really cause many problems, like inflammation, infection, scarring. Cysts should be evaluated by your physician and you may likely need a surgeon to remove them entirely.’

Why do you get clusters of pimples in certain places?

‘Pimples tend to occur in oily areas of the skin, which is why we commonly see breakouts in the “T-zone”. Also, hormones can trigger breakouts in certain areas, which is why (for example) people with Polycystic Ovarian Syndrome who have increased hormone levels (androgens), get more breakouts in the “beard distribution” of the face.’

Why do spots come back in the same place?

‘The pimple likely never completely resolved. When we have changes in hormone levels on a monthly basis, an increase in hormones can trigger increased oil production, increased risk of bacterial infection, and re-irritation of that pimple again.

‘Sometimes these reoccurring pimples are cystic and come back because they never form a head to be extracted. The pore is clogged under the surface of your skin and can enlarge and appear on the surface of your skin when your body is producing more oil.’

What can you do about under the surface pimples? How can you treat them at home?

‘Pustules and inflammatory papules are white bumps with a red base, and they can often be painful to touch. When you have a pustule this means there are purulent contents inside, meaning localised infection… bacteria is involved and has a hand in creating this type of bump.

‘To treat them at home, always be sure to follow directions on the product or as directed by your dermatologist. It’s important to pay attention to your skin and if you notice drying or irritation, reduce how often you are using the product.

‘You can use acne products to treat current breakouts AND prevent future breakouts, so it’s usually OK to continue using them even after a breakout has improved and some people may opt for a spot treatment if they have specific areas that they are more prone to acne and breakouts.’

How do you pop a pimple in your ear?

‘I think the question is, rather, how do you NOT pop a blemish in your ear? First and foremost, I suggest trying to refrain from popping. Any area that you squeeze on your skin, this certainly
increases your risk for scarring and infection.

Plus, you cannot see your ear so how are you going to properly extract any kind of bump? You would have to have quite an extravagant setup of mirrors at different angles to do this with any sense of safety.

My best advice is if you have a blemish or a growth in your ear that is particularly bothersome to you, please see a dermatologist to have it evaluated.’

How do you pop a pimple on your lip?

‘Same as above. Sometimes what you think is a blemish on your lip may actually be something else, like a cold sore, aka herpes simplex labialis. If it’s a cluster of blisters and you had a burning or pain sensation in the area days before it popped up, this could be a herpes breakout, and remember and broken blister in this case can be contagious!

If you suspect you could have a cold sore breakout please get this evaluated by your dermatologist – there are prescription meds that can safely decrease the severity and length of time of this breakout.’

How do you pop a pimple that doesn’t have an obvious head?

‘You cannot pop a blemish that has not come to the surface of the skin successfully. In those moments when you can feel it more than you can see it, is the time that you may want to see your dermatologist. Because they can actually inject a low-potency corticosteroid in the area which can often make the blemish go away within 24 hours.

I strongly recommend NOT picking at your blemish because this will often lead to it getting bigger. The bigger and angrier it is, the increased risk of infection and/or permanent scarring.’

Which products do you recommend applying to a spot that you’ve already popped and then one that you’ve haven’t?

‘As many of us know, it’s hard to keep our hands off of active blemishes, so I recommend applying an anti-blemish cream like Sulfur Lotion or even a plaster to remind you to
keep your hands off.

To a blemish that has been popped, I recommend applying topical
corticosteroid and a cold compress to help minimize redness and discomfort.’

How to pop a pimple in 6 steps by Dr Pimple Popper

1. Sterilise the area and be sure to have clean tools, hands, and environment.

2. You’ll want to make sure you wash your face before with warm water, or better yet, take a steamy shower, to really open up the pores.

3. Use your fingers or a comedone extractor as I most often use in my videos, to place pressure on the skin immediately surrounding the whitehead, to push the contents out. If using fingers, increase traction by wrapping clean tissue paper around the fingers applying pressure.

4. A whitehead should come out pretty easily if it is ready, but if the pimple is not popping, there’s definitely a time to give up because forcing it and continually pushing and squeezing will only irritate your skin cause increased swelling, redness, and pain, and certainly increase your risk for local infection and scarring.

5. To finish I would recommend applying a topical corticosteroid and /or a topical acne spot treatment that likely contains benzoyl peroxide or an antibiotic, cool compresses if desired, or just try to leave the area alone.

6. See a dermatologist or skincare professional to help you get these extracted. In short, Know when to POP and know when to stop!

90,000 Ovarian cyst rupture – causes, symptoms and treatment.

• Symptoms of a ruptured ovarian cyst

A ruptured ovarian cyst is a complication from which no woman diagnosed with an ovarian cyst is immune. As a result of some factors, the capsule tears and its contents are poured into the abdominal cavity. What are the symptoms, treatment and what recommendations does the doctor give?

Causes of ruptured ovarian cyst

Functional tumors are most susceptible to rupture: follicular and corpus luteum cysts.Unlike endometrioid, they have the ability to dissolve on their own. In addition, functional neoplasms have very thin capsule walls, so they open up much more often than, for example, dermoid ones, in which the membrane is denser.

A follicular tumor usually ruptures during ovulation, and a neoplasm of the corpus luteum – in the second half of the menstrual cycle.

The reasons for the gap are usually divided into external and internal.

External factors include:

• abdominal injury,
• active sports,
• physical activity,

90,021 intercourse.

That is, these are the factors that can provoke an increase in intra-abdominal pressure.

Internal factors include inflammation, hormonal imbalance, and twisting of the cyst leg.

Symptoms

If an ovarian cyst has burst, the symptoms are usually pronounced.First of all, the symptoms of the so-called “acute abdomen” appear:

• sudden severe pain in the lower abdomen, usually unilateral, depending on the location in the left or right ovary;
• changes in intestinal motility, impairing emptying;
• Strong tension of the anterior abdominal wall.

A sharp pain in the abdomen is caused by the fact that the contents of the capsule and blood after rupture are poured into the abdominal cavity.The pain can radiate to the lower back or inner thigh.

In addition, spotting or bleeding from the vagina may appear, blood pressure decreases, and the temperature rises – a sure sign of an inflammatory process.

If you have at least one of the above symptoms, you should immediately seek medical help! If help is not provided on time, an inflammatory process in the abdominal cavity may develop – peritonitis , which entails an emergency operation.

Cyst rupture treatment

Surgical treatment is carried out, which is designed to stop the bleeding and remove the obstruction capsule from the abdominal cavity. Sometimes surgeons are forced to remove part of the tissue or completely the ovary – in the case when the organ is badly damaged.

Unfortunately, formation and rupture can occur again after surgery. For patients prone to such health problems, gynecologists recommend planning a pregnancy as soon as possible, as well as regularly undergo examinations with a doctor.

Dear ladies, remember that often our health is in our own hands! Remember to get regular check-ups with your gynecologist. The sooner the disease is detected, the easier it is to cure it. And the specialists of the IMC ON CLINIC will help you with this!

• Symptoms of a ruptured ovarian cyst

Ovarian cysts. The author of the article: gynecologist Andirzhanova Gulfiya Ildarovna.

03 December 2019

Family Health Magazine

In the ovary, various processes can occur that lead to an increase in its
volume, – both absolutely harmless and
life-threatening.The most common ovarian cysts are benign formations that are
an accumulation of fluid surrounded by a shell.
An ovarian cyst (from the Greek – a bag, a bladder) is a formation in the form of a bladder with
liquid or semi-liquid contents,
arising in the structure of the ovary and increasing its volume several times.
Causes of ovarian cysts
not definitively established. Hormonal disorders can play a role in the mechanism of development of cysts. There are the following types of cysts:
Functional cysts that form as a result of a violation of the monthly cyclical process in the ovary.Follicular cysts result from the absence of ovulation and further
growth of an unruptured follicle. They are
do not exceed 7-8 cm in diameter, have
very thin wall, there are no more
2 months and open up on their own
without serious consequences. Cysts of yellow
bodies arise after ovulation has occurred as a result of the accumulation of fluid
inside the corpus luteum of the ovary and often accompany pregnancy. Cysts of yellow
bodies are also small, but
a thicker wall than follicular.They can contain both clear yellow liquid and blood. Cysts
corpus luteum can exist for
several menstrual cycles or in
during the first 3-4 months of pregnancy,
after which they dissolve on their own.
Corpus luteum cysts sometimes rupture
with bleeding into the abdominal cavity that
may require surgery.
Polycystic ovaries, characterized by the presence of multiple immature follicles 5-10 mm in size.Because of these small cysts, both
ovaries increase in size, but not
exceed 5 cm in diameter. Polycystic ovaries are associated with menstrual irregularities and infertility.
In some cases, to recover
ovulation is performed laparoscopic
operation. Endometrioid cysts,
resulting from lesions
ovaries and adjacent organs, endometriosis. As a consequence of repetitive
small bleeding from foci of endometriosis, blood accumulates in the delimited space and becomes thick
brown fluid, which is why endometrioid cysts are also called
“Chocolate”.Endometrioid cysts
accompanied by pain and infertility,
sometimes spontaneously rupture and, for the most part, require surgical
treatment.
Dermoid cysts, which are a type of true tumors
ovaries. These cysts are the result of the growth of rudimentary cells in the ovary.
due to impaired embryonic tissue differentiation. Dermoid cysts
occur in young women, usually
are small, densely walled and contain grease, tufts of hair and sometimes
teeth, cartilage and bones.Dermoid cysts
have a long stem and are often twisted, causing acute pain and the need for urgent hospitalization.
Dermoid cysts are usually easily diagnosed by ultrasound.
Cystadenomas, which are true ovarian tumors and result from overgrowth
certain ovarian cells. Cystadenomas have a strong membrane and contain
clear liquid or mucus. They can be large and
consist of several chambers.Sometimes in
cystadenomas appear cancer cells.
Symptoms of cystic formations
ovaries are irregular menstruation and a feeling of heaviness in the lower abdomen. There may be pain in the lower abdomen with
one side, pulling or aching character, may appear or intensify
during intercourse. The pain can become intense, accompanied by nausea, vomiting, spread throughout the abdomen and give into the rectum during development
complications (torsion or rupture of the cyst). Dermoid cysts are more often subjected to torsion, luteal cysts are ruptured.Follicular cyst rupture may cause short-term pain, but
does not pose a health hazard.
Menstrual irregularities can
manifest as a delay in menstruation
or dysfunctional uterine bleeding.
Abdominal enlargement occurs only
with large cystic tumors.
Often, cysts are asymptomatic and are discovered accidentally during
ultrasound examination (ultrasound), carried out for another reason. Ultrasound has
highest diagnostic value
with ovarian cysts also because
which suggests the type of cyst
before surgery and plan accordingly
treatment.However, not always ultrasonic
the study allows you to distinguish functional cysts from small cystadenomas.
In this case, expectant
tactics within 2 months. If the cyst
more than 2-3 menstrual periods persist
cycles, carry out its laparoscopic
assessment and removal. During the operation, remove
cyst with maximum preservation of healthy ovarian tissue in women of reproductive age.
Wait-and-see tactics are applied
with small (up to 10 cm) cysts, if
Ultrasound does not show clear signs of a tumor (dense inclusions).In addition to cysts, tumors that do not contain fluid (solid) can occur in the ovaries. Some of them are accompanied by excess hormone production:
estrogens or androgens, and most
these tumors are malignant. The test for the tumor marker CA-125 can help diagnose malignant tumors, but the most reliable
this test is performed in postmenopausal women. The ovaries may also have
tumors developing from imported
blood of cancer cells of other organs
(for example, stomach).Therefore, if a solid tumor of the ovary is found, an examination is necessary to exclude cancer.
other organs.
Special measures for prevention
ovarian cysts do not apply. It has been found that the use of hormonal contraception reduces the risk of
ovarian cysts. To be on time
to diagnose ovarian pathology, it is necessary to undergo an ultrasound scan once every six months
organs of the small pelvis. Upon detection
for an ultrasound of the ovarian cyst, you need to contact a specialist to resolve the issue
about further tactics and method of treatment.

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90,000 Ovarian cyst. Symptoms – Clinic Health 365 Yekaterinburg

Ovarian cyst – capsule or cavity inside or on the surface of the ovary. The ovaries are a paired organ located in the small pelvis on both sides of the uterus. In size and shape, each ovary resembles an amygdala. In women of reproductive age, the eggs mature and develop in the ovaries, and then every month they leave from there into the abdominal cavity from which they enter the fallopian tube.

Many women develop ovarian cysts during their lifetime. In most cases, cysts are harmless, causing little or no discomfort. Cysts often go away on their own after a few months without medical intervention.

However, an ovarian cyst – especially if it ruptures – can sometimes lead to serious complications. The best way to protect your health is to be aware of the symptoms and types of ovarian cysts, which may indicate a more serious problem, and to have a gynecological examination regularly.

Symptoms cannot be relied on to pinpoint the presence of an ovarian cyst. Symptoms do not appear in every case. If symptoms do occur, they may be similar to those of other conditions, such as ectopic pregnancy, pelvic inflammatory disease, or ovarian cancer. Even with appendicitis and diverticulitis, the same symptoms that occur when an ovarian cyst ruptures can occur.

It is very important to know and be wary of all emerging changes and emerging symptoms, as well as to know exactly which of them are dangerous.

With an ovarian cyst, the following symptoms may occur:

• Disorders of the menstrual cycle;

• Pain in the lower abdomen – constant or paroxysmal dull pain that can radiate to the thigh and lower back;

When to see a gynecologist

You need to urgently seek medical help if you have :

– Sudden, severe pain in the pelvic area or abdomen;

– Pain accompanied by high fever or vomiting

These symptoms, as well as those of shock such as cold, clammy skin, rapid breathing, dizziness and weakness, are indications of a medical emergency and require immediate medical attention.

If the symptoms of the disease are not so pronounced, but are constantly observed, make an appointment with the gynecologist as soon as possible.

For more information about the ovarian cyst, you can get from the gynecologist of the clinic “Health 365” in Yekaterinburg.

Related articles:

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Menstrual pain

Signs of pregnancy

Hysteroscopy

Colposcopy

Hysterosalpingography

Ultrasound of the small pelvis

Ultrasound of mammary glands

Mammography

Mastopathy

Laparoscopy in gynecology

Uterine fibroids

Endometriosis

Sexually transmitted diseases

Inflammatory diseases

Bacterial vaginosis

Human papillomavirus

Ovulatory syndrome, symptoms

Adenomyosis

Ectopic pregnancy

Miscarriage

Menopause.Menopause syndrome

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90,000 Ovarian cysts – what is and why are they dangerous during pregnancy

When planning a pregnancy, women undergo various examinations, including ultrasound of the pelvic organs – the uterus and ovaries. In this case, the diagnosis is sometimes made “ovarian cyst”. Can such cysts interfere with the onset of pregnancy and do they need to be treated or operated on to give birth to a healthy baby?

Ovarian cyst – formation in the ovary, which is a bladder filled with fluid.The size of this formation can be different, which determines the symptoms of this disease. Small cysts usually do not manifest themselves in any way and, as a rule, are accidentally detected during ultrasound examination. Large ovarian cysts cause a feeling of heaviness in the lower abdomen and even pain.

Causes of ovarian cyst

Normally, every woman during the menstrual cycle in the ovary matures a dominant follicle, from which in the middle of the cycle a germ cell – an egg cell – emerges.In place of the ruptured follicle, the so-called corpus luteum is formed – a formation with thick walls, which releases the hormone progesterone into the blood, which contributes to the attachment of the ovum in the uterine cavity and its development until the placenta is formed. If the egg is not fertilized and pregnancy does not occur, the corpus luteum undergoes reverse development.

If the maturation of follicles and ovulation processes are disturbed, ovarian cysts may form. The mechanisms of their growth are very diverse.For example, if the follicle in the ovary reaches 20 mm in diameter, but for some reason ovulation (the release of the egg – the female reproductive cell – from the ovary) does not occur, that is, the follicle does not burst, it continues to grow further, and the so-called follicular ovarian cyst.

If ovulation occurs, but hormonal disturbances lead to excessive accumulation of fluid in the lumen of the corpus luteum, a corpus luteum cyst may form.

Cysts can occur for no apparent reason, against the background of climate change, stressful situations, hormonal disorders in the body.

Types of ovarian cysts: their signs and symptoms

By their nature, ovarian cysts are functional and organic.

To functional include follicular cysts and cysts of the corpus luteum, most often they spontaneously resolve during several menstrual cycles. If functional cysts are small in diameter, do not squeeze the surrounding organs and do not cause pain, they are usually not treated.
With large cysts, hormonal treatment is carried out, most often hormonal contraceptives are prescribed, which normalize the hormonal background and contribute to the resorption of the cyst.

As a rule, functional cysts have no effect on the course of pregnancy. When pregnancy occurs, they usually resolve before 16-19 weeks.

In addition, at small stages of pregnancy, the doctor very often diagnoses the presence of a corpus luteum cyst, which promotes gestation due to increased production of progesterone (pregnancy hormone). Such cysts decrease in size and dissolve after the placenta has formed, that is, after 12 weeks of pregnancy.

Organic Cysts are cysts that do not dissolve by themselves and most often require surgical treatment.These include endometrioid cysts, cystoadenomas, dermoid and paraovarian cysts.

Endometrioid cysts

These are benign organic cysts, they grow slowly and are easily treated with surgery. Inside them is the endometrial tissue – the inner lining of the uterine cavity, which changes monthly and is rejected during menstruation.

The endometrium is a hormone-dependent tissue, therefore, all the same processes occur inside the cyst as in the uterine cavity, that is, the endometrium grows in the first phase of the menstrual cycle, matures in the second phase and is rejected with bleeding during menstruation.Due to these processes, there is a gradual increase in the diameter of the endometrioid cyst.

Most often, small endometrioid ovarian cysts are asymptomatic, and they are accidentally found on ultrasound.
Large cysts can cause pain that gets worse during your period. They are often double-sided and can reach significant sizes. Endometrioid cysts have a small risk of degeneration into a malignant ovarian cyst, most often it occurs in women after 40 years.

The presence of endometrioid ovarian cysts can prevent pregnancy and is an indication for surgical treatment. First, the cyst is removed, and then hormone therapy, since endometrioid cysts tend to reappear. Most often, hormonal contraceptives and drugs that cause artificial menopause are prescribed. In the absence of hormonal stimulation, endometrioid cells die, which prevents the recurrence of the disease. Depending on the diameter and number of endometrioid cysts, the presence of foci of endometriosis on the fallopian tubes and internal tissues of the abdominal cavity, a drug is chosen.

Cystadenomas

This is a fairly common type of ovarian cysts, most often cystadenomas are small unilateral cysts. Depending on the content, a distinction is made between serous cystadenoma, inside which there is a clear liquid of light straw color, and mucinous cystadenoma, with thick mucus inside.

Cystadenomas

These are benign cysts, but they can become malignant, which determines the tactics of their treatment: surgical removal of the formation.

During pregnancy, cystadenomas can increase in volume and cause persistent abdominal pain.

Dermoid cyst (mature teratoma)

This is a congenital tumor of the ovary, it is a round formation in the ovary and contains in its structure elements of hair, skin, nails, fat. Such cysts can be of different sizes – from a few centimeters to gigantic formations. However, most often they are small and therefore do not manifest themselves clinically.Dermoid cysts of small size, as a rule, do not have an effect on the conception and gestation of pregnancy, however, since there is a small likelihood of malignant degeneration of teratomas, their treatment is surgical.

Paraovarian cysts

This is a fluid-filled mass located between the ligaments of the uterus, next to the ovary. The paraovarian cyst is most often small and does not decrease over time or under the influence of drugs.However, it can increase. Most often this occurs due to prolonged overheating – for example, if a woman likes to go to the sauna, abuses wraps, often takes baths with a water temperature of more than 38 degrees C. The progression of the paraovarian cyst is also facilitated by tanning under the sun or in a solarium.

This type of formation, with its small size, usually does not affect the course of pregnancy and does not require any treatment. With the active growth of the cyst, its surgical removal is indicated.

Why ovarian cysts are dangerous

There are cases when a follicular cyst or a cyst of the corpus luteum bursts, and its contents are poured into the abdominal cavity. In this case, bleeding may begin, and, as a result, the need for hospitalization in a hospital. In addition, torsion of the ovarian cyst is possible, which is accompanied by severe abdominal pain and also requires hospital treatment.
During pregnancy, large ovarian cysts pose a potential danger, since cyst rupture or torsion may occur, in this case, surgical intervention is indispensable.

In rare cases, the formation of multiple ovarian cysts causes infertility.

Cyst diagnostics

The first stage in the diagnosis of cysts is an examination by a gynecologist in a chair, the doctor can detect a unilateral (less often bilateral) enlargement of the ovary, with large cysts, soreness is sometimes noted during the examination.

For the diagnosis of ovarian cysts, ultrasound examination of the pelvic organs is widely used, which makes it possible to determine the type of cyst, since all the formations described above have their own distinctive features.

In some cases, for the correct diagnosis, it is necessary to carry out repeated ultrasound examinations during one or more menstrual cycles.
In case of controversial issues, the doctor may additionally recommend an MRI of the pelvic organs.

Methods for the treatment of ovarian cysts

Treatment of cysts is carried out in two ways – conservatively, that is, with the help of drugs, and promptly, that is, surgically.

Conservative therapy

Conservative therapy in this case is based on the use of hormonal drugs.For the treatment of cysts, hormonal contraceptives are widely used, most often MARVELON is prescribed.

Hormonal contraceptives are prescribed for the treatment of functional ovarian cysts and in the postoperative period after removal of the remaining ovarian cysts to prevent their re-formation.

With endometrioid ovarian cysts in the postoperative period, in order to prevent recurrence, hormonal agents that cause artificial menopause are usually used.

Surgical treatment

Surgical treatment for functional cysts is required only in case of complications such as rupture of the cyst or torsion. With organic cysts, surgery is most often necessary.

Operations to remove ovarian cysts are performed by laparoscopic access (special instruments inserted into the abdomen through small incisions under the control of a video camera). Laparoscopy is also possible during pregnancy, in case of complications from the ovarian cyst.Only with large cysts is it necessary to make an incision in the anterior abdominal wall.

A feature of ovarian surgery is the removal of a cyst or tumor within healthy tissues, that is, the ovarian tissue, which contains many follicles, must remain intact, and the cyst, together with its capsule, is carefully “removed” from the ovary. In rare cases, the so-called resection of the ovary is performed, that is, the removal of a part of it. If the size of the cysts is very large, then in some situations it is practically impossible to find ovarian tissue.In this case, the entire ovary is removed.

After surgical treatment by the laparoscopic approach, a woman quickly recovers, usually a week after the operation, she can already go to work.

Pregnancy management with ovarian cyst

The planning of pregnancy usually depends on the type of cyst. Most often, conception is recommended 3-6 months after surgery.

During pregnancy, ovarian cysts are monitored using ultrasound and Doppler studies – studying the blood flow in the ovary and in the cyst, monitoring the marker of tumor diseases CA-125, the concentration of which increases sharply if the cyst degenerates into a malignant tumor.

If surgical treatment is required during pregnancy, it is safest to perform laparoscopy at 16-18 weeks.

Prevention of ovarian cysts

For the prevention of cysts, timely diagnosis and treatment of thyroid diseases, as well as normalization of weight, are of great importance, since this will help to avoid hormonal disorders in a woman’s body.

It is important to observe personal hygiene and prevent inflammatory diseases of the uterus and ovaries, as well as sexually transmitted diseases.

Ovarian cysts can often occur after abortion.

The use of hormonal contraceptives significantly reduces the risk of any ovarian cysts.

treatment, laparoscopic and robotic operations with rapid rehabilitation

One of the priority areas of work of the EMC Gynecology and Oncogynecology Clinic is the diagnosis and treatment of cysts and tumors of the ovaries (formations), which are often diagnosed in women of reproductive age, as well as after menopause.

Often the terms – cyst, cystoma, ovarian tumor – are practically synonyms for the clinician and mean the presence of an abnormal formation (growth) on the ovary. The fact is that in international classifications there are concepts ADNEXAL MASS, OVARIAN MASS, OVARIAN CYST – they are all interchangeable, each cystic ovarian formation can be called one of three terms.

Ovarian tumor implies the presence of a cyst with a dense component. By itself, a cyst is a “bubble” on the surface or inside the ovary, filled with fluid.Even for modern methods of intrascopy (ultrasound, CT, MRI), and therefore for the oncogynecologist, these formations are distinguished only by the nature of the contents.

There are many classifications according to histology, size, functionality, but the classification according to the degree of malignancy is quite universal and meets the need for information about the disease of both the doctor and the patient.

Types of ovarian cysts

Cysts and tumors of the ovaries are divided into three types:

Benign formations (cysts) of the ovaries are more common in young women and can be associated with diseases such as endometriosis (when the cells of the endometrium, the inner layer of the uterine wall, grow outside this layer), and can also be the result of menstrual irregularities.

Borderline ovarian tumors are more common in women after 30 years of age. Under the microscope, cysts can be defined as malignant, but they have a clinical course that is more reminiscent of benign formations. Borderline tumors in rare cases cause the spread of metastases (screenings), but often provoke relapses (when after a while the tumor returns to the ovary or appears in another place) – in these cases, repeated operations are necessary. Chemotherapy is not effective in this case.

Malignant tumors of the ovaries (ovarian cancer) in most cases occur in women after menopause. Unfortunately, 80% of patients go to the doctor only with the manifestation of symptoms – at the third or fourth stage of the disease. In these cases, the most radical operations are performed, aimed at removing all tumor nodes from the abdominal cavity, after the operation (in some cases even before the operation), chemotherapy is performed. Despite the late stage of treatment, 30-40% of patients have a chance of a complete cure.

How are ovarian cysts (formations, tumors) detected?

Some women go to the gynecologist with pain in the lower abdomen. Sometimes these pains are cyclical, in some cases they are permanent. In some cases, cysts and ovarian masses are detected incidentally during prophylactic ultrasound examinations.

What are tumor markers? What are they used for?

Tumor markers are specific substances that arise in the biological fluids of patients as a result of the vital activity of cancer cells.The most frequently studied tumor marker in the blood in ovarian formations is CA-125. It is often identified when cysts or ovarian masses are found. Unfortunately, CA-125 lacks specificity. It can increase several times in case of benign processes in the abdominal cavity (uterine fibroids, endometriosis, benign ovarian cysts, colitis and others), while in half of women with malignant ovarian tumors in the early stages, the level of CA-125 is normal. Therefore, the definition of CA-125 is often not used to resolve the issue of tumor malignancy before surgery, but in combination with ultrasound data, in some cases, it can become a significant diagnostic indicator for a gynecologist.

Does the presence of a cyst always require removal?

Perhaps only functional cysts (cysts that form as a result of the menstrual cycle and not ovulation) deserve observation by a gynecologist over time. Functional cysts should disappear within 1 to 2 menstrual cycles. If this does not happen, the cyst is not functional, but pathological.

Polycystic ovaries (many small cysts along the periphery of the ovary) may be a normal variant, and also be a sign of one of the components of polycystic ovary syndrome.These small cysts also, in most cases, do not require surgical treatment, unless they are combined with infertility or menstrual irregularities.

Polycystic ovaries are actually found in 15-20% of perfectly healthy women and do not require treatment. In other cases, they are included in the clinically significant polycystic ovary syndrome (hyperandrogenism, cycle disorders). All other cysts and ovarian masses are considered pathological and require surgical removal.

What is the purpose of the operation?

It is possible to accurately determine whether a benign cyst or a malignant (borderline) cyst is possible only after the removal of a cyst or an ovary with a cyst during the operation. All preoperative diagnostic techniques (ultrasound, tumor markers, symptom analysis) are approximate and do not give a 100% answer to the question of malignancy.

Some cysts can also cause ovarian torsion, when its blood supply is cut off, the ovary dies, which is an indication for emergency surgery.Some cysts can rupture involuntarily, sometimes leading to significant bleeding (ovarian apoplexy), which usually also requires urgent surgery.

Is it possible to preserve the ovary itself, on which the cyst has arisen, or is it required to completely remove it?

This largely depends on the nature of the cyst, the woman’s age and a number of other factors. Speaking of benign ovarian cysts (endometrioma, cystadenoma, follicular cyst, etc.)) with not very large sizes, it is possible to preserve the ovary and remove only the cyst with a capsule in order to avoid relapse.

If the cyst during the operation looks suspicious from the oncological point of view, it is safer to remove the entire ovary together with the cyst, immersing it in a plastic bag directly in the abdomen, and then removing it – it is very important not to “break” the cyst in the abdomen, that is, the contents did not enter the patient’s abdominal cavity, as this could provoke problems in the future.

Your gynecologist must warn you about the possible need to remove the entire ovary with a cyst (tumor) and that this decision can be made by the surgeon during the operation, although in most cases the ovary can be preserved.

In some cases, it is required to remove the cyst together with the ovary – in this case, the surgeon sends him for an urgent histological examination, the results of which help to quickly decide on the required amount of surgery directly during the operation.

Are there any chances of pregnancy and childbirth if one of the ovaries is removed?

One ovary can fully perform its functions, including the production of sex hormones, ensuring a normal menstrual cycle, as well as the formation of eggs monthly. If the fallopian tube of the preserved ovary is passable, then the chances of getting pregnant and carrying a child are the same as in women with two ovaries.

Treatment of ovarian cysts

If the cyst (formation) of the ovary is not too large, is less than 7-9 centimeters in diameter and does not raise any special suspicions about its malignancy according to the results of ultrasound, a minimally invasive procedure is performed – ovarian laparoscopy.

It is worth noting that the vast majority of ovarian cysts fall into this category and are treated with laparoscopic surgery, which gives excellent cosmetic results, minimal blood loss during surgery, and quick recovery. If the cyst is too large and cannot be safely removed from the abdominal cavity through the small laparoscopic openings, an abdominal surgery is performed.

If, according to the data of ultrasound or computed tomography (CT) or blood tumor markers, there is a thorough suspicion that the formation is malignant, in this case, an abdominal operation is performed.

For a number of atypical cysts and formations of the ovaries, it is advisable to carry out a laparoscopic operation. In other cases, laparoscopy is used only to diagnose ovarian formation, and then goes into abdominal surgery.

Are there nonoperative treatments for ovarian cysts (masses)?

Apart from functional cysts and polycystic ovaries, other types of cysts and formations are treated with surgery. There is a misconception that some hormonal drugs contribute to the resorption of the cyst, but there is no evidence of the effectiveness of this method in the medical literature.

In some cases, the cyst resolves on its own (functional cyst), but this usually occurs spontaneously, and not due to the use of hormonal drugs. The use of hormonal (contraceptive) drugs is really justified only in one case – to prevent the re-formation of functional and other benign ovarian cysts. Moreover, the use of hormonal contraceptives for 5 years or more (in total for a woman’s life) reduces the risk of developing ovarian cancer by 40%.

Which doctor should i go to for ovarian cysts?

If an ovarian cyst is detected according to the results of an ultrasound scan, it is necessary to contact a gynecological surgeon specializing in laparoscopic operations. Even if the cyst turns out to be functional, the gynecologist-endosurgeon will continue to monitor the patient for several months until the cyst resolves on its own. If the cyst is not typical or there is a suspicion of the presence of a borderline or malignant tumor, in this case, you should contact a gynecological oncologist surgeon who will prescribe additional studies and perform laparoscopic or abdominal surgery.

EMC oncogynecological surgeons have the appropriate surgical training, extensive surgical experience in gynecological oncology and related disciplines, the most modern modern equipment, and most importantly – an understanding of the need for complete radical removal of the tumor during surgery.

The main task of the EMC Department of Gynecology and Oncogynecology is to provide surgical and therapeutic medical care for gynecological and gynecological oncology diseases in a short time, as efficiently as possible, painlessly and with minimal side effects.The work is being built in accordance with the standards of evidence-based medicine practiced in the United States and Western Europe.

The team of doctors of the department – surgeons-oncogynecologists, surgeons-gynecologists, urogynecologists, behind whom not only years of practice in the best clinics in Russia, the USA, Europe and Israel, but also powerful theoretical training, which is constantly being improved thanks to the participation of doctors in international congresses and conferences by specialty.

The head of the department is an experienced surgeon-gynecological oncologist and obstetrician-gynecologist, certified by the US National Commission (Board Certified) for Obstetrics-Gynecology and Oncogynecology, and also a certified specialist in obstetrics-gynecology and oncology in Russia, Vladimir Nosov.The EMC clinic is one of the few in Moscow, the level of medical services delivery of which meets international standards.

Torsion of the ovarian cyst

Torsion of ovarian cysts: causes, symptoms, diagnosis and treatment

Unfortunately, the female reproductive system is very susceptible to the formation of neoplasms, which is due to a significant number of factors, both external and internal nature, including genetic ones.

Tumor-like neoplasms include an ovarian cyst – a bubble with a semi-liquid content that forms in the tissues of the ovary and thereby increases its volume.

Causes of torsion of the ovarian cyst

The risk of developing cystic neoplasms increases in women who have not given birth or, on the contrary, who often have resorted to artificial termination of pregnancy.

Often, ovarian cysts do not bother and are detected during prophylactic examinations.

At the same time, there may be painful sensations that intensify during intercourse.

Menstrual irregularities can manifest as dysfunctional uterine bleeding or delay.

A formidable complication of this disease is torsion, or kinking of the cyst leg, in which the pain becomes extremely intense, spreads throughout the abdomen, “shoots” into the rectum, accompanied by nausea and even vomiting.

Torsion can lead to necrosis, necrosis of the cyst tissue and, as a result, peritonitis, inflammation of the peritoneum – a deadly condition.

Thus, torsion of the ovarian cyst is an acute condition that requires immediate surgery.

Torsion of the cyst leg can occur as a result of sudden movements during sports or heavy household physical exertion, pregnancy or postpartum conditions, overflow of the bladder, increased intestinal motility, and trauma.

Types of torsion and its symptoms

The twist can be complete or partial.

With complete torsion, the following complex of symptoms can be observed:

• Acute, severe abdominal pain
• Drop in blood pressure
• Nausea, vomiting
• Urinary incontinence
• Diarrhea
• Tachycardia i.e. rapid heart rate
• Pallor of mucous membranes and skin
• Fainting

With incomplete torsion, the picture may not be so dramatic, but this can dull vigilance and the patient does not turn to specialists.Pains come and go. Especially such smoothed symptoms are typical for young patients or elderly women.

However, this condition is also unfavorable and requires examination by a gynecologist.

Diagnosis of cyst torsion

Ultrasound of the abdominal organs can reveal the presence of a cyst, its anatomical structure, size, and the degree of torsion of the leg.

If necessary, to clarify the diagnosis, a diagnostic laparoscopy is prescribed, which allows, in addition to visual examination of the formation, to take tissue for histological examination.

Treatment of cyst torsion

Treatment, especially with full, developing rapidly developing torsion is only surgical.

Currently, advanced endoscopic organ-preserving technologies have been developed. Under the control of ultrasound, the gynecological surgeon straightens the torsion, thereby restoring the ovarian circulation and restoring its function. The cyst is removed.

If the cyst has reached a large size, the patient turned to specialists late, then the formation is removed through an incision in the abdominal wall.

Surgical interventions are carried out under anesthesia in a hospital setting.

To avoid this, it is extremely important to regularly, at least once a year, visit a gynecologist and conduct a thorough examination of the reproductive system.

90,000 Antibiotics and ovarian cysts – Articles from Alexander Nikitin

03/12/2020

One operation – 2 grids

Uterine prolapse is rarely combined with urinary incontinence.In this case, I mean the stressful form of urinary incontinence (involuntary loss of urine when coughing, laughing, sneezing, jumping, etc.). More often, when the uterus descends, on the contrary, difficulty urinating occurs. This appears to be due to the formation of a kink between the bladder and urethra. How to approach the treatment of a patient with concomitant urogenital prolapse and stress urinary incontinence? The specialists who connected their activities with the surgery of the prolapse of the pelvic organs and urinary incontinence were divided into two groups.The first ones perform two operations simultaneously: reconstruction of prolapse plus sling operation. The second is that these two interventions are separated in time.
In order to explain why I belong to the latter, a small digression is necessary.
The prolapse of the pelvic organs (uterus and bladder), which requires surgical treatment, is, as a rule, a gross violation of the anatomy of these organs. Stress urinary incontinence is a dysfunction of the bladder. Dysfunction in most cases is associated with a violation of the anatomy of the bladder and urethra.Correctly diagnosing stress urinary incontinence and determining the indication for sling surgery is not an easy task. Especially if other urinary symptoms are present. The altered anatomy of the bladder and uterus (their prolapse) further complicates the diagnosis. A comprehensive urodynamic study (CUDI), which sometimes helps a doctor in diagnosing a type of urinary incontinence, is of little informative against the background of a prolapse of the bladder. All these arguments, in my opinion, suggest that it is wrong to interfere with the function without first restoring the anatomy.This is theoretical reasoning. But here are two facts that support this opinion from my practical experience. After the simultaneous correction of prolapse and urinary incontinence, 10% of patients experienced difficulty urinating or could not urinate at all. 20% of patients after prolapse correction got rid of urinary incontinence without sling surgery. Bladder function often changes after surgical correction of urogenital prolapse. I believe the first step is to restore the anatomy of the uterus and bladder.After that, evaluate the function of the bladder and, based on these data, draw a conclusion about the need for a second operation.