HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Can Cysts Aspiration Reduce Overall Pain?

Hi, I m a 62yr caucasian male. A recent US showed 4 benign cysts. 6.8cm,2.4cm.1.6cn on interpolar left and 1.7cm on parapelvic right. All have grown since my last US 2 years ago. My creatinine is 1.69. I have had 3 episodes of PE s, 4 episodes of DVT s in 4 years. I am now on warfarin with INR 2.9. I have spinal stenosis from an old L1 burst fracture. I have lower back leg pain and muscle cramps. I m concerned about complications if I have the cysts aspirated. Managing the pain requires quite a bit of narcotic pain meds which cause constipation and then additional pain. Could the aspiration reduce the pain level? What other concerns could the procedure cause?
Mon, 1 Oct 2018
Report Abuse
General & Family Physician,  's  Response
Hi,

Cysts aspiration may definitely give you symptomatic relief. These large cysts may press on the pelvic structures and I am suspecting that these have caused pressure on ureters since long contributing to urine outflow obstruction and therefore deranged creatinine.

Apart from this, these also cause pressure on the pelvic venous plexuses causing venous stasis and thus prone you to DVT and PE risk. As you are on Warfarin, cysts aspiration like any other surgical procedure carries some risk like hemorrhage into the cyst or intra-abdominal bleeding.

However, it can be managed by adjusting or stopping the Warfarin peri-operatively and bridging it with IV Heparin. Don't forget to restart Warfarin after no issues with bleeding, after the procedure because a second episode of PE may occur as you have already experienced one.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Syed Hashim Ali Shah, General & Family Physician
I find this answer helpful
Note: For further queries related to coronary artery disease and prevention, click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Recent questions on Geriatrics


Loading Online Doctors....
Can Cysts Aspiration Reduce Overall Pain?

Hi, Cysts aspiration may definitely give you symptomatic relief. These large cysts may press on the pelvic structures and I am suspecting that these have caused pressure on ureters since long contributing to urine outflow obstruction and therefore deranged creatinine. Apart from this, these also cause pressure on the pelvic venous plexuses causing venous stasis and thus prone you to DVT and PE risk. As you are on Warfarin, cysts aspiration like any other surgical procedure carries some risk like hemorrhage into the cyst or intra-abdominal bleeding. However, it can be managed by adjusting or stopping the Warfarin peri-operatively and bridging it with IV Heparin. Don t forget to restart Warfarin after no issues with bleeding, after the procedure because a second episode of PE may occur as you have already experienced one. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Syed Hashim Ali Shah, General & Family Physician