||Background: Ovarian cysts are common in reproductive women. They range from the simple to the complex type which has low consequence to be neoplastic in nature. Simple cysts detected on ultrasound can be managed without surgical intervention.
Objective: To evaluate the management of ovarian cysts by aspiration and instilling of antimicrobial drugs into the cavities by trans-abdominal ultrasound guide.
Materials and Methods: A mixture of stratified and convenience sampling methods were used as the patients came from their referral centres, and fifty-three (53) women who were diagnosed with ovarian cysts were enrolled for the study. The age range was between 18 and 55 years. They all had a transabdominal ultrasound (US)– guided cyst aspiration and Antibiotics were infiltrated into the cyst cavity to prevent post-aspiration infection. The aspirated samples were sent for culture and sensitivity, and cytology. The procedure was repeated in few patients because of recurrence.
Results: Fifty-three patients satisfied the criteria for the procedure and follow-up. Nineteen (19) patients had right-sided cysts, while thirty-one (31) were left-sided, and three (3) bilateral. The drained cyst volume ranged from 10.2 to 2560mls, with an average cyst volume of 223mls. Staphylococcus aureus, klebsiella and Escherichia coli are the three organisms isolated from the aspirates, while 58.49% produced sterile culture results. No malignant cells were found in any of the cytologic specimens. During follow-up, only 3 (5.7%) aspirated cysts recurred. Patients received analgesics and antibiotics, as no major complication was observed.
Conclusion: Aspiration of simple ovarian cysts is a suitable alternative to surgical exploration, particularly when drugs are infiltrated into the aspirated cyst cavity.
Key words: Ovarian cysts, ultrasound-guided transabdominal aspiration, drug instillation