Transvaginal ultrasound-guided aspiration of benign ovarian cysts

Michail Nikolaou, George Adonakis, P. Zyli, Androutsopoulos Georgios, G. Androutsopoulos, A. Saltamavros, Charalabia Psachoulia, V. Tsapanos, George Decavalas
In: Journal of Obstetrics and Gynaecology · 2014 · vol. 34(4) , pp. 332–335 · doi:10.3109/01443615.2013.874406 · PMID:24483623 · W2099411938
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Transvaginal ultrasound-guided aspiration of benign ovarian cysts in 46 women was a safe and effective procedure with a 39.1% recurrence rate, higher in endometriotic cysts.

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Abstract

In our study, we evaluate the diagnostic and therapeutic efficacy of transvaginal ultrasound-guided aspiration of benign ovarian cysts in selected patients. A total of 46 women with benign ovarian cysts were referred to our outpatient clinic. The aspirated fluid was collected and sent for cytological analysis. All women were re-evaluated at 1, 3 and 6 months after the procedure. The cytological analysis was negative for malignancy in all cases. Our study showed an overall recurrence rate for ovarian cysts of 39.1%. Women with endometriotic ovarian cysts have an increased incidence of recurrence, 62.5% (n = 5), in comparison with serous cysts, 35.2% (n = 12) and serous-haemorrhagic cysts, 15% (n = 1), χ(2) = 9.913, df = 2, p = 0.007. The results of our study reveal that transvaginal ultrasound-guided aspiration of benign ovarian cysts is a simple, safe and effective procedure.

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