The labia minora feels grainy when pinched

If you pinch the labia minora with your hands, you will feel some obvious granularity, but there will not be any painful symptoms. This cannot be easily ignored. Try to get corresponding treatment when the disease just occurs. Only in this way can your condition not become more serious with the passage of time. In addition, necessary patients need to undergo surgical resection to improve the symptoms.

Those that are large and protrude at the vaginal opening or between the labia may look like bladder prolapse, but they do not shrink after urination. Or, after inserting a metal catheter, pinching the base of the cyst with your fingers and feeling that there is a certain distance between the catheter and the cyst, it is not difficult to identify.

Cysts located in the posterior vaginal fornix should be differentiated from rectouterine fossa hernias. The latter will increase in size when coughing, or shrink or even disappear when pushed up with fingers. During the triple examination, patients are advised to apply abdominal pressure, which may cause the vaginal rectal septum to bulge and bulge. This is caused by the intestinal curves entering the hernia sac of the vaginal rectal fossa due to abdominal pressure, while vaginal cysts do not have the above changes.

Cysts located in the lower 1/2 of the anterior vaginal wall must be differentiated from urethral diverticula and urethral gland abscesses. Although the latter two also form vaginal bulges, they are both connected to the urethra. When pressed forward with the hands, urine or pus can be seen flowing out of the urethra.

Small cysts located on the posterior vaginal wall near the hymen are mostly inclusion cysts. In addition, it is necessary to differentiate between double uterus, double vaginal malformation, unilateral vaginal atresia, and menstrual blood retention. This situation is extremely rare. Although the patient has menstruation, the dysmenorrhea gradually worsens, and the cyst formed on one side of the vagina is more tense and purple in color. Local puncture and identification can be performed when necessary.

Surgical resection is the main treatment. If the cyst is not too high, the operation is usually not difficult, but care must be taken during the removal process to avoid injuring the urethra or bladder. If the tumor is large and located deep in the fornix and extends into the broad ligament, it is impossible to completely remove it vaginally, and it is very difficult even if surgery is performed abdominally at the same time. Some authors believe that after scraping the remaining cyst wall with a curette, the edges of the stump are sutured together with the corresponding edges of the vaginal mucosal incision to form a stoma, and then the vagina is filled with gauze to compress the remaining cyst cavity. It is possible to make the remaining cyst wall completely adhere and close. Even if it cannot be adhered and closed, it will not inflate again.