Ultrasound-guided sclerotherapy
A needle through the vaginal wall drains the cyst and treats its lining. No cuts on your belly and you go home the same day.
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Ovarian cyst removal is a procedure to drain or take out a cyst that has not gone away on its own, while keeping as much healthy ovary as possible. At Sinsoe Women's Clinic in Gangnam, Seoul, female OB-GYNs offer ultrasound-guided sclerotherapy through the vaginal wall, with no scar on your belly, and laparoscopic or robotic cystectomy in the B2 surgery center. Sclerotherapy can be combined with HIFU for fibroids or adenomyosis in the same session. An English-speaking coordinator stays with you from booking to follow-up.
When an ovarian cyst stays, grows or causes pain, your doctor may advise taking it out. There are two main ways: draining and sealing the cyst from the inside (sclerotherapy), or cutting the cyst wall away from the ovary (cystectomy).
Sclerotherapy uses a thin needle passed through the vaginal wall under ultrasound. The fluid is drained and a sclerosing agent is placed to shrink the lining so the cyst is less likely to refill. Your ovary stays where it is and there is no external scar.
Laparoscopic cystectomy removes the whole cyst wall through a few small cuts. The tissue can be checked in a lab, which matters for dermoid cysts or any cyst with unclear features.
Your doctor chooses after an ultrasound, and sometimes blood tests or MRI. This is a simplified guide.
| Cyst type | Usual approach |
|---|---|
| Chocolate cyst | Sclerotherapy is often a good option to keep ovarian tissue |
| Simple cyst that refills | Sclerotherapy, often with follow-up medicine |
| Dermoid cyst | Laparoscopic cystectomy, because it contains solid tissue |
| Unclear or solid parts | Laparoscopy so the tissue can be tested, or hospital referral |
| Both ovaries affected | An ovary-sparing plan, discussed carefully if you want children |
Final advice depends on your scan, your age and your plans for pregnancy.
All three aim to remove the problem while keeping as much ovary as possible.
A needle through the vaginal wall drains the cyst and treats its lining. No cuts on your belly and you go home the same day.
Chocolate and simple cystsThrough 3 or 4 small cuts, the cyst wall is peeled away from the ovary and sent to the lab. See laparoscopy.
Dermoid or unclear cystsThe same operation done with robotic instruments, which allow fine movements in tight spaces. Your doctor tells you if it offers a benefit in your case.
Complex surgeryFrom first scan to follow-up, you deal with the same English-speaking team.
After sclerotherapy, most women have mild cramps and some watery discharge for a few days and go back to light activity within 1 to 2 days.
After laparoscopy, expect shoulder-tip pain from the gas and sore cuts for a few days. Most return to desk work in about 1 to 2 weeks.
Both methods are well established. Here is what to expect, including the downsides.
Keeps ovarian tissue and leaves no scar. Cysts can come back, so follow-up medicine or injections and scans are advised. Rare risks: infection, bleeding, pain.
Removes the whole cyst wall and allows lab testing. Some healthy ovarian tissue can be lost, which may lower ovarian reserve. Risks: bleeding, infection, adhesions.
If you want children, tell your doctor. An AMH test before treatment shows your ovarian reserve and helps choose the gentlest method.
Endometriomas can come back after any method. Long-term hormone treatment lowers the risk.
Plan your days in Seoul around the method you choose.
Bring your Alien Registration Card. Follow-up scans are done at the same clinic, so changes are easy to see.
After sclerotherapy, short flights are usually fine after 1 to 2 days. After laparoscopy, plan about 1 week in Seoul before a long flight. Your doctor confirms it is safe.
Ask for an English medical certificate, your operation note and any lab result for your home doctor or insurer.
Sinsoe Women's Clinic at 537 Nonhyeon-ro, Gangnam-gu, Seoul offers ovarian cyst sclerotherapy and laparoscopic cystectomy by female OB-GYNs, with an English-speaking coordinator. It is a 4-minute walk from Eonju Station Exit 7 (Line 9). Book on WhatsApp at +82-10-9517-5719.
Many can be treated with sclerotherapy, where a needle through the vaginal wall drains the cyst under ultrasound. There is no cut on your belly. Dermoid cysts usually need surgery.
The aim is to keep your ovary. Sclerotherapy leaves the ovary in place and cystectomy removes only the cyst wall. Removing a whole ovary is rarely needed.
About 1 to 2 days after sclerotherapy and about 1 to 2 weeks after laparoscopy for most women.
Yes, especially chocolate cysts. Follow-up medicine and regular ultrasound lower the risk and catch any return early.
Most women can. Tell your doctor if you are planning pregnancy so she chooses the method that best protects your ovarian reserve.
It depends on the method and the cyst. The coordinator gives you an estimate after your scan and consultation.
Your doctor plans pain relief or sedation with you so you stay comfortable during the procedure. Mild cramps for a few days afterwards are common.
Send your scan report in English. A coordinator replies with a time to see a female OB-GYN and talk through your options.
| Mon & Fri | 10:00 AM – 8:00 PM |
|---|---|
| Tue, Wed, Thu | 10:00 AM – 7:00 PM |
| Saturday | 10:00 AM – 4:00 PM |
| Sunday | Closed |
About this page. Written for international patients of Sinsoe Women's Clinic, Gangnam, Seoul. Last updated October 2026. This page gives general information and does not replace a consultation with a doctor.