Transvaginal Ultrasound-Guided Drainage of Endometriomas

Transvaginal ultrasound-guided drainage of endometriomas is a minimally invasive procedure used for the management of these cysts in the ovaries. Endometriomas are fluid-filled cysts that develop as a result of endometriosis, a condition in which the tissue that lines the uterus grows outside of it.

During the transvaginal ultrasound-guided drainage of endometriomas, the procedure begins with the patient lying in a comfortable position on the examination table. A transvaginal ultrasound probe is gently inserted into the vagina, providing a clear view of the pelvic organs, including the endometriomas. Using real-time ultrasound imaging, the healthcare provider identifies the location, size, and characteristics of the endometrioma. This information guides the insertion of a small needle or catheter into the cyst. The needle or catheter is carefully advanced under ultrasound guidance until it reaches the center of the cyst. Once the needle or catheter is properly positioned within the endometrioma, the fluid inside the cyst is aspirated. This is done slowly and carefully to minimize discomfort and reduce the risk of complications. The aspiration process may take several minutes, depending on the size and volume of the cyst. In some cases, a medication or sclerosing agent may be injected into the endometrioma after the aspiration. This is done to promote shrinkage of the cyst or prevent its recurrence. The choice of medication or sclerosing agent will depend on the individual case and the healthcare provider's recommendation. After the procedure is complete, the needle or catheter is carefully removed, and the patient is allowed to rest for a short period. Most patients can return home the same day and resume their regular activities within a day or two. Some mild discomfort or spotting may be experienced, but this is usually temporary.

Transvaginal ultrasound-guided drainage of endometriomas is a palliative treatment aimed at providing symptom relief and reducing the size of the cysts. It does not cure endometriosis itself, and additional treatments may be necessary for long-term management. At MASSH, our experienced healthcare providers specialise in the management of endometriosis and offer comprehensive care for endometriomas. We understand the unique challenges associated with this condition and are dedicated to providing personalised treatment plans tailored to each patient's needs. During your consultation, we will thoroughly evaluate your condition and discuss the benefits, risks, and expected outcomes of transvaginal ultrasound-guided drainage of endometriomas. We will address any concerns or questions you may have and work closely with you to determine the most appropriate and effective treatment approach. Trust in the expertise of MASSH to provide you with exceptional care in the management of endometriomas. Contact us today to schedule a consultation and take the first step towards effective treatment and symptom relief with transvaginal ultrasound-guided drainage.