Image-guided Aspiration + Sclerotherapy

Image-guided aspiration and sclerosis can be considered when imaging indicates a cystic lesion near the ischial tuberosity, accompanied by persistent pain, tenderness, or limited activity, or when conservative treatment is ineffective. The decision is usually based on a comprehensive assessment of the cyst size and location, its relationship to neurovascular structures, the presence of infection or bleeding risk, previous treatment response, and overall health status, as determined by a specialist team.