Diagnosed with an Inclusion Cyst--symptoms exactly like cystocele

Body: 

Hi everyone,
I was diagnosed with an inclusion cyst 2 weeks ago. I was originally diagnosed with cystocele 5 months ago, but I went for a follow-up with a new gyno. She sent me for a transvaginal ultrasound, and I have a 2 cm cyst on my anterior vaginal wall.

It behaves just as a cystocele is described here--bulges out when I stand, goes away when I lie down...she said I should just watch it, and if it becomes bothersome I can have surgery to take it out.

Does anyone have any opinion on this? Is it sort of like the surgery for cystocele? My gut tells me to avoid surgery, but it does disturb me that this thing could get bigger and start causing me problems. She said if it got bigger I could start having painful intercourse or trouble urinating. yay. Good times. I'm not sexually active now, and it doesn't bother me other than that it is ANNOYING and GROSS, so I figure--just wait and hope that it stays the same or goes away?? Any opinions out there?

hi menanny30
I moved your post here, where I thought it would be more at home. I hope you don't mind.
and back to your cyst...
first, thank you for posting this, reminding us that accurate diagnosis is always a good idea. a while back another member was diagnosed with a cyst as well (don't remember if it was the same type). she ended up having the surgery but I don't recall if she ever updated after that.
I don't know anything about the type of surgery, but I'm sure your dr could (and should) give you some details. I'd ask about any possible adverse effects or postop limitations, etc. and how many of these surgeries he does annually. If you're the first he's seen, I'd find another surgeon!
I am not a fan of surgery in general but I would look into this. what are the dangers of leaving it be and exploring a surgical option if and when it becomes more bothersome?
good luck with your research and decision. and if you don't mind, would you keep us informed? I'm sure there will be others who would value your experience.

I developed one of these after my most recent birth as a result of tearing- I noticed it somewhere around the one month mark-
it was on the right side and got to be a pretty good size before it went away-maybe the size of a small olive?
anyway I worked on it a bit everyday- hot compresses- different herbal soaks in the form of sitz baths and after a little while it resolved.
I was so so worried it was going to interfere with intimacy- but by the time we got serious about starting that relationship up again- that sucker was out of the picture.
Here is a description of what I had:
Inclusion cysts, small cysts occurring at the lower end of the vagina and usually on the posterior surface, arise from inclusion beneath the surface of tags of mucosa resulting from perineal lacerations or from imperfect approximation in the course of surgical repair of the perineum, usually at episiotomy. Occasionally, such cysts are found at the apex of the vagina after hysterectomy in the region of the scar. They are lined by a stratified squamous epithelium, and the content is usually cheesy.
The usual location is in the superficial mucosa. A characteristic finding is thick, cheesy contents on cut section. A prominent basement membrane is often present with smooth muscle being absent from the cyst wall. Inclusion cysts are usually situated within the lower posterior or lateral vaginal wall, at sites of previous episiotomy.

Now, I am a bit worried about you because although a doctor diagnosed yours as an inclusion cyst -it doesn't sound like it is following the general pattern for one- the location isn't the norm. Have you had a recent trauma in that area? What do you think? Maybe it would be a good idea to do a biopsy?
could you have a cystocele as well as a cyst?