Gynaecological cyst removal under local anaesthesia

The removal of gynaecological cysts under local anaesthesia is a minor procedure during which a fluid-filled mass in a woman’s genital area is removed or drained. The type and extent of the procedure depend on the size, location and symptoms of the cyst. Such cysts are usually benign, but further investigations may be recommended if there is any uncertainty.

What happens before the procedure?

Your doctor will provide specific instructions on how best to prepare for the planned procedure. It is recommended that you avoid taking aspirin, anti-inflammatory medicines or anticoagulants for a few days before the procedure, as these may increase the risk of bleeding and bruising. It is also important to inform the doctor if you are allergic to any medicines, particularly local anaesthetics.

What happens during the procedure?

During the procedure, the doctor injects local anaesthetic into the treatment area, so the patient feels no pain, only minimal discomfort. A small incision is then made, through which the cyst is opened and its contents removed. The procedure usually takes around 15–30 minutes.

What happens after the procedure?

After the procedure, the doctor may monitor you for up to 15 minutes to ensure you do not experience any side effects, including dizziness, nausea or an allergic reaction. The local anaesthetic will not cause you to feel tired or drowsy, so you will be able to drive yourself home.

After the procedure, the following is recommended:

Wound dressing and care;
Medication for pain relief;
Rest and gentle activity.

Side effects of the procedure

Redness, swelling;
Bleeding;
Scars (which may or may not be visible);
Infection;
The cyst may recur;
Skin hypopigmentation or hyperpigmentation.

Frequently asked questions about cyst removal

Is cyst removal under local anaesthetic painful?

You may experience mild discomfort at the site of the procedure, which should subside within 12–24 hours.

How long does it take to heal after the procedure?

The healing time depends on your general state of health and the size and location of the cyst that has been removed. It is likely that healing will take up to 2 weeks after cyst removal. During this time, you will be able to carry on with your daily activities, although you may experience some mild discomfort. To promote faster healing and prevent infection, you should follow your doctor’s instructions on wound care.