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Vaginal Smell Icd 9

Vaginal Cysts and Swellings Differential Diagnosis Discussion

Hello everybodytoday i will be discussing about differen causes of vaginal cystsand swellings i am really sorry for the spelling of swellingToday we will discuss different common causes ofvaginal cysts and swellings with which patients presents to usthese are gartners duct cyst bartholin duct cystinclusion cyst lipomashematoma They all are the common cysts seenthevagina and the vulva and the main thing will

be our discussion about what are the differentfeatures of each cyst How we can diffrentiate one from other what are the features peculiarto gartners duct cyst what are the features of bartholin duct cyst and lipomas hematomasand inclusion cysts ok main thing is the loion of the cyst that determines which cyst itis likely to be we will discuss individually about each cyst and swellings ok let us beginwith gartners duct cyst these are the cysts which arise from embryonic remnants of themesonephric duct which pass along the anterior aspect of the vaginal canal so this cystsare situated on the anterior vaginal wall and anterior vaginal canal usually these cystsare small and asymptomatic and they dont cause

any symptoms like dyspareunia or dischargemOST of the times they dont cause any symtoms and they are small they are found incidentallyduring the pelvic examination and we dont worry about these cysts because they can befollowed conservatively and if the patient becomes symptomatic then we opt for excisionbut remember this is only for symptomatic patients Most of the times we follow themconservatively ok now proceed forward and look about Inclusion cysts these are the cyststhese are the most common vaginal cysts and they are situated on the posterior lower vaginalsurface these cysts result from birth trauma or previous gynaecological surgeries as thename suggesst these are the inclusion cyst

i.e blockage of the duct due to some traumasome surgery and the secretions remain there and forms inclusion cysts these are also mostof the times asymptomatic and conservatively managed Ok Bartholin's duct cysts this isvery important because these are the large cysts of the vulva these are most common cystsof the vulva Bartholin duct open into a groove betweenthe hymen and labia minora acturally what happens Bartholins duct get blocked due tomicroorganisms proliferation the bartholins duct gets blocked and the secretion of bartholingland which are normally useful for coitus they make the vaginal wall moisty and it makeseasy for intercourse and when their duct becomes

blocked their secretion cannot pour out andthey form a cyst and marsupialisation is its treatmentWhat do we mean by marsupialisation it is a procedurewhich the cyst is incisedand its edges are stitched with the normal skin because if we dont do marsupialisationthen again recurrence rate is higher so we opt for marsupialisationLipomas these are benign encapsulated tumors of fatcells they are mostly foundlabia majora and are superficialloionthey are just the tumors of fat cellsand if we donot remove it doesnot cause any problemthe conversion of lipomas into sarcomas and

carcinomas is rare and we donot need to worryabout it until their are some symptoms due to its mass effectif it causes dyspareunia or any other symptoms, we will go for excision otherwise its fineHematomas of the vulva These are due to blunt trauma or straddleinjury and sometimes these hematomas can occur without injuries and are known as spontaneoushematomas they are due to result of rupture of varicoseveinpregnancy or the postpartum period Rupture of varicose veinpregnancy or thepostpartum period ok these were the diffrential diagnosis ofthe vaginal cysts and swellings

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