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Ovarian Cystectomy

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Ovarian Cystectomy

Ovarian Cyst Removal | Laparoscopic Surgery | Pain Relief & Fertility Protection

Ovarian cysts are fluid-filled sacs that commonly develop on the ovaries. While most cysts resolve naturally, some require surgical removal (Cystectomy) if they are large, persistent, cause severe pain, or raise suspicion of malignancy. The primary goal of this surgery is to remove the cyst while delicately preserving the healthy ovarian tissue, which is crucial for future fertility and hormone balance.

When will you be advised Ovarian Cystectomy?

  1. Persistent Pain (Symptomatic): When the cyst causes chronic or severe pelvic pain, pressure, or discomfort that significantly impacts the patient’s quality of life.

  2. Large Size: Cysts that are large, typically over 5 cm to 10 cm in diameter, and persist without reducing in size.

  3. Non-resolving Cyst: If the cyst does not resolve on its own after a period of watchful waiting (usually 2–3 menstrual cycles).

  4. Suspicious Appearance: When the ultrasound shows the cyst has complex, solid components or features that suggest a potential risk of malignancy (cancer).

  5. Complications: In cases of surgical emergencies like Ovarian Torsion (twisting of the ovary) or cyst rupture.

  6. Endometriomas: Large cysts associated with endometriosis (chocolate cysts) that are causing severe symptoms or are interfering with fertility.

  7. Post-Menopausal Status: Any new or growing ovarian cyst found after menopause is usually recommended for removal due to the increased risk of cancer in this age group.

Advantages of doing an Ovarian Cystectomy (Laparoscopic)

Laparoscopy is the preferred technique over traditional open surgery:

  • Ovary Preservation (Fertility Protection): Better ability to save the healthy ovary, protecting future fertility and hormone production.

  • Minimal Scarring: Only small, barely visible scars (keyhole), improving the cosmetic outcome.

  • Reduced Pain: Less post-operative discomfort compared to open surgery.

  • Faster Recovery: Patients are usually discharged in 1–2 days and return to normal activities much sooner.

  • Accurate Diagnosis: Allows for immediate visual confirmation and biopsy of suspicious cysts.

When Should You Consult a Doctor?

It is important to seek medical advice if you experience any of the following symptoms, as they may indicate an ovarian cyst or a more serious condition:

  • Sudden, Severe Pelvic Pain: This is a surgical emergency, as it could indicate a ruptured cyst or ovarian torsion (twisting of the ovary), requiring immediate attention.

  • Persistent or Chronic Pelvic Pain: Pain that lasts for several days or cycles, especially if it radiates to your lower back or thighs.

  • Abnormal Changes in Menstruation: Experiencing unusually heavy, prolonged, or painful periods, or bleeding between periods.

  • Persistent Bloating or Pressure: Feeling constant fullness, heaviness, or pressure in the lower abdomen that doesn’t go away.

  • Changes in Bowel/Bladder Habits: Frequent need to urinate, difficulty passing urine, or new onset of constipation.

  • Unexplained Symptoms: If you have gained weight, lost weight, or experienced unusual hair growth (hirsutism), as these can be hormonal signs of PCOD or certain types of cysts.

  • Routine Follow-up: If you have previously been diagnosed with a small cyst that needs monitoring via periodic ultrasound scans.