Nabothian cysts puncture

Nabothian cysts (mucinous retention cysts) are benign formations that can develop on the cervix. These cysts form when mucus accumulates in the cervical glands without an outlet. They typically do not cause symptoms and are discovered incidentally during routine gynecological examinations, but there are situations when puncture is necessary. Doctors at the "Dobrobut" medical network have extensive experience dealing with such pathologies and use the most modern techniques for removing nabothian cysts of any complexity.

Causes of Nabothian Cysts and Symptoms

Nabothian cysts occur when the mucus glands of the cervix become blocked, leading to mucus accumulation. Blockage can happen due to:

• Chronic cervicitis, as continuous inflammation of the cervix can lead to scar tissue formation.
• Traumatic injuries to the cervix that may occur during childbirth, surgical procedures, or other forms of physical trauma.
• Hormonal changes during pregnancy, menopause, or due to hormonal medications that may affect the cervix's tissue and gland function.
• Sexually transmitted infections.

Symptoms of Nabothian Cysts

Nabothian cysts usually do not have significant symptoms and are discovered incidentally during examinations; however, in severe cases, they may cause:

• Pain and discomfort in the pelvic area,
• Changes in vaginal discharge,
• Bleeding,
• Painful sensations during intercourse,
• Frequent urination or false urges (when the cysts press on the bladder).

If any symptoms appear, it is essential to consult a doctor for timely diagnosis and treatment.

Diagnosis

Diagnosis of nabothian cysts generally involves reviewing medical history, examining for size, shape, and location of the cyst. If needed, a colposcopy—detailed examination using a specialized microscope—and/or biopsy of tissues to detect atypical cells may be performed.

Treatment of Nabothian Cysts

Treatment, depending on the severity of the condition, can be conservative or surgical. Medical therapy may include antibiotics and analgesics. If conservative treatment does not yield results, or if the cyst is particularly large, puncture and removal of nabothian cysts may be recommended.

Indications and Contraindications for Puncture of Nabothian Cysts

Indications:

• Persistent pain or discomfort associated with the cyst;
• Impaired normal cervical or reproductive system function;
• Suspicion of malignant or other pathological conditions requiring samples for biopsy;
• Recurrent infection or inflammation related to the cyst.

Contraindications:

• If pelvic infections are detected;
• Blood clotting disorders;
• Pregnancy.

Before the puncture, a comprehensive examination is conducted, which includes a gynecological exam and instrumental studies to confirm the presence and evaluate the characteristics of the cysts.

How the Procedure Is Conducted

Puncture of nabothian cysts is usually performed on an outpatient basis by a gynecologist. Steps include:

1. Preparation: A comprehensive examination is conducted, including a gynecological exam and instrumental studies to confirm the presence and evaluate the characteristics of the cysts.
2. Local anesthesia and insertion of a speculum to visualize the cysts on the cervix.
3. Puncture of the cyst to drain the mucus using a sterile needle or thin instrument.
4. If needed, a sample of the cyst's contents is taken for further studies.
5. Post-Procedure Care: Cleaning and monitoring to prevent complications.

Rehabilitation Period

Recovery after the removal of nabothian cysts is usually quite fast. It is important to follow the doctor's recommendations:

• Monitor for signs of infection or bleeding.
• Take pain relievers and other medications as prescribed by the doctor.
• Avoid heavy lifting and other intense physical activities, as well as sexual activity until full healing.
• Attend a check-up at the scheduled time.

In general, the puncture of nabothian cysts is a relatively simple and safe procedure that can alleviate symptoms and provide additional diagnostic opportunities for cervical pathology.

You can schedule a consultation with a gynecologist through the online form or by calling the contact center.