International Journal of Medical and Pharmaceutical Research
2025, Volume-6, Issue-3 doi: 10.5281/zenodo.15686696
Case Report
Vaginal Cysts as Incidental Findings: A Descriptive Case Series and Surgical Management
Published
May 28, 2025
Abstract

Background: Vaginal cysts are uncommon benign lesions that often present as incidental findings during routine gynecological examinations. Although usually asymptomatic, they may cause dyspareunia, dysuria, or vaginal discomfort when they enlarge. Despite their clinical significance, there is limited literature on the optimal management approaches for different types of vaginal cysts. This case series aims to describe the clinical presentation, diagnostic approach, and surgical management of different types of vaginal cysts to enhance clinical understanding and guide management decisions. Case Presentation: We report three cases of vaginal cysts in women aged 29, 38, and 43 years who presented to Sri Sathya Sai Institute of Higher Medical Sciences, Bangalore, between November 2024 and January 2025. The presenting symptoms varied from dyspareunia and infertility concerns to dysuria and sensation of a vaginal mass. Imaging studies, including ultrasonography and magnetic resonance imaging, confirmed the diagnosis. All patients underwent surgical excision under anesthesia with various techniques including enucleation and hydrodissection. Histopathological examination revealed Müllerian cyst in one case, while others presented with different cyst types. All patients experienced uneventful postoperative courses with complete resolution of symptoms during follow-up. Conclusion: This case series highlights the importance of a thorough clinical examination, appropriate imaging modalities, and histopathological analysis in accurately diagnosing vaginal cysts. Complete surgical excision offers good outcomes with minimal complications and should be considered the standard of care in symptomatic cases or when diagnostic uncertainty exists. A tailored surgical approach based on cyst location, size, and suspected etiology is recommended for optimal outcomes.

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