A small vaginal cyst incidentally discovered during ultrasound examination (or – if it’s a bigger one – even during examination with specula),above the region of a previous wound occured during a previous vaginal delivery, causing zero symptoms; this is the typical vaginal inclusion cyst.
Since it causes no symptoms and its existence does not translate into dangers for the patient, no treatment is justified. In case a vaginal inclusion cyst is discovered during suturing in subsequent vaginal deliveries, it may be removed.
Differential diagnosis:
- mullerian cyst,
- gartner duct cyst,
- urethral diverticulum,
- paraurethral cyst (Skene),
- ectopic ureterocele,
- bartholin duct cyst,
- endometriosis,
- vaginitis emphysematosa.
Bibliography
- Heller D. S. (2012). Vaginal cysts: a pathology review. Journal of lower genital tract disease, 16(2), 140–144. https://doi.org/10.1097/LGT.0b013e3182320ef0
Gynaecologia 