Abstract
Objectives To perform a retrospective study to evaluate the aspiration and polidocanol sclerotherapy in the management of various cystic lesions in the body.
Materials and Methods Twenty patients with symptomatic cystic lesions in the body were aspirated and injected with Polidocanol foam under ultrasound guidance. Thyroid cyst (2), intraabdominal lymphatic cyst (1), epididymal cyst (1), urachal duct remnant cyst (1), simple liver cyst (1), cystic liver metastasis (1), simple renal cyst (4), adrenal cyst (1), congenital funicular hernia (1), encysted hydrocele of spermatic cord (1), hydrocele (2), ovarian cysts (2), angular dermoid cyst (1), and hydronephrotic kidney secondary to PU junction obstruction (1). All patients were followed up by ultrasonography up to 6 months
after treatment.
Results In all the patients, sclerotherapy was performed on an outpatient basis under local anesthesia and none of the patients needed postoperative analgesia or admission. Nineteen out of 20 patients had complete regression of the lesions, one patent with multiple cystic liver mets in postoperative case of jejunal gastrointestinal stromal tumuor (GIST), approximately 70–80% regression of the size of cystic lesions in the liver was noted. None of the patients had any complication and none required analgesia. All the patients were discharged 1 hour after the procedure.
Conclusion Ultrasound-guided aspiration and foam sclerotherapy with polidocanol is an effective, safe, and minimally invasive therapeutic option for symptomatic cystic lesions in the body with equal efficacy and lower morbidity and hospital stay as compared with surgical options.
Keywords
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