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Suggest treatment for chocolate cyst and mild hydronephrosis of right kidney

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Posted on Wed, 27 May 2015
Question: Suffering with dilathrum chocolate cyst and mild hydronephrosis of right kidney
doctor
Answered by Dr. Sameer Kumar (2 hours later)
Brief Answer:
laparoscopy to be preferred.

Detailed Answer:
Hello,
Thanks for the query to HCM,
As there are two large cysts 13cm and 8 cm bilaterally and isoechoeic, they are likely to be endometriotic cysts but a MRI shall help delineate the cysts better and can help define a complex cyst from an endometriotic cyst better. If MRI says a complex cyst then it is likely a ovarian tumour which can be ruled out by tumour markers , hence MRI is necessary.Also right hydronephrosis is possible due to pressure of large cyst over the yreter and causing back pressure changes thereby causing dilatation of the pelvis of kidney. If the cysts are proved endometriotic then the laparoscopic removal would be the best with decreased morbidity, but if required it can be converted to a open surgery if the cysts turn out to be adherent and difficult to remove.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Sameer Kumar (12 minutes later)
Hi sir,

Thank you for valuable answer and have few doubts , Do I have 2 large cysts of size13 & 8 cm each, if I go with laparoscopy does it going to show any impact on pregnency time
doctor
Answered by Dr. Sameer Kumar (5 hours later)
Brief Answer:
answered

Detailed Answer:
yes you do have two large cysts which shall require removal and ovulation would be difficult in their presence and hence chances of pregnancy as well. So they should be removed.
regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Sameer Kumar

OB and GYN Specialist

Practicing since :2002

Answered : 1742 Questions

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Suggest treatment for chocolate cyst and mild hydronephrosis of right kidney

Brief Answer: laparoscopy to be preferred. Detailed Answer: Hello, Thanks for the query to HCM, As there are two large cysts 13cm and 8 cm bilaterally and isoechoeic, they are likely to be endometriotic cysts but a MRI shall help delineate the cysts better and can help define a complex cyst from an endometriotic cyst better. If MRI says a complex cyst then it is likely a ovarian tumour which can be ruled out by tumour markers , hence MRI is necessary.Also right hydronephrosis is possible due to pressure of large cyst over the yreter and causing back pressure changes thereby causing dilatation of the pelvis of kidney. If the cysts are proved endometriotic then the laparoscopic removal would be the best with decreased morbidity, but if required it can be converted to a open surgery if the cysts turn out to be adherent and difficult to remove. Regards