Ultrasound-guided culdotomy for vaginal ovarian cystectomy using a renal balloon dilator catheter

M Tanaka, Masaaki Tanaka, T Sagawa, Tetsuya Sagawa, Manabu Hashimoto, M Hashimoto, Y Mizumoto, Yasunari Mizumoto, H Yoshimoto, Hideo Yoshimoto, R. Yamazaki, T. Kasai, Machiko Inoue, M. Inoue
Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology · 2008 · vol. 31(3) , pp. 342–345 · doi:10.1002/uog.5272 · PMID:18307175 · W1967092829
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This study evaluated ultrasound-guided culdotomy with a balloon dilator for vaginal ovarian cystectomy, finding it a safe and effective method for removing benign cysts in 15 of 16 patients.

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Abstract

OBJECTIVES: To evaluate the feasibility and utility of performing ultrasound-guided culdotomy using a renal balloon dilator catheter for transvaginal ovarian cystectomies. METHODS: Culdotomy using transvaginal sonography and a Nephromax balloon dilator catheter was performed in 16 patients for the vaginal removal of benign ovarian cysts located in the cul-de-sac. Each ovarian cyst was punctured under transvaginal ultrasound guidance and the punctured site on the vaginal wall was enlarged with a dilator. The cyst was then enucleated through this vaginal wound. Preoperative characteristics of the patients, outcome, operating time, blood loss and complications of each culdotomy, and the histology of the cysts, were recorded and examined. RESULTS: We used this method on 14 patients with unilateral ovarian cysts and two with bilateral cysts. Culdotomy was performed successfully in 15 cases (94%). The mean +/- SD operating time for culdotomy was 22 +/- 11 min, and blood loss during the procedure was less than 10 mL in all cases. There were no complications including rectal injury or febrile morbidity. CONCLUSIONS: Culdotomy assisted by ultrasound imaging and a dilator is a safe, reliable and effective method for removal of benign ovarian cysts via a vaginal approach.

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MeSH descriptors

Catheterization Culdoscopy Ovarian Cysts Ovarian Cysts Ovary Adult Catheterization Culdoscopy Feasibility Studies Female Humans Ovarian Cysts Ovary Ovary Treatment Outcome Ultrasonography Vagina

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