Treatment

Ovarian Cystectomy

Overview

Ovarian cystectomy is a surgical procedure done to remove cysts from the ovary while keeping the ovary intact. Cysts are fluid-filled sacs that often form during the menstrual cycle and while many go away on their own, some need medical attention. If the cyst is large, painful, hemorrhagic (bleeding) or causing fertility issues, ovarian cyst surgery may be advised.

This treatment can be performed using traditional surgery or laparoscopic ovarian cystectomy, it is a minimally invasive method that helps in faster recovery. It can help relieve symptoms, protect fertility and rule out cancer in some cases.

Why Ovarian Cystectomy Treatment is Required?

• When cysts become large or persist for a long time.
• If a hemorrhagic ovarian cyst causes severe pain or bleeding.
• In case of a paraovarian cystectomy need.
• When cysts rupture or twist the ovary (ovarian torsion).
• If there is a chance of cancer or suspicious growth.
• When cysts interfere with fertility or menstrual cycles.
• If the cyst does not respond to medications or lifestyle changes.
• In cases where multiple or recurring cysts are present.
• When ovarian cyst haemorrhage leads to internal bleeding or emergency.
• For confirming diagnosis through biopsy after cyst removal surgery.

Key Advantages of Ovarian Cystectomy Treatment

• Preserves healthy ovarian tissue, maintaining hormonal balance.
• Helps reduce pelvic pain and bloating.
• Boosts chances of natural conception.
• Removes suspicious or potentially cancerous cysts.
• Minimally invasive options like laparoscopic cystectomy offer faster healing.
• Lowers the risk of future complications or emergencies.
• Effective management for women who plan to get pregnant.
• Provides clarity about the nature of the cyst post-removal.
• Improves menstrual health and reduces irregular bleeding.

How Should You Prepare Yourself Before Ovarian Cystectomy Treatment

• Share your full medical history, medications and menstrual pattern with your doctor.
• Get necessary scans (ultrasound/MRI) to assess the cyst’s size and type.
• Stop eating and drinking for a few hours before surgery, as advised.
• Arrange someone to accompany you on the day of surgery.
• Discuss anesthesia options with your surgical team.
• Ask about before and after ovarian cyst surgery care and recovery time.
• Understand the potential risks and results of the procedure.
• Prepare mentally by asking all your doubts and fears openly.
• Follow instructions regarding stopping certain medications for example blood thinners.
• Pack light and comfortable clothing for your hospital stay.

How Ovarian Cystectomy Treatment is Performed?

• Laparoscopic ovarian cystectomy is commonly used for smaller or benign cysts.
• A few tiny incisions are made in your abdomen.
• A camera and surgical tools are inserted to locate and remove the cyst.
• For larger or complex cysts, open surgery (laparotomy) might be required.
• The cyst is carefully removed, keeping the rest of the ovary intact.
• In rare cases, ovarian cyst ovary removal may be necessary if damage is extensive.
• The area is cleaned and closed with stitches or surgical glue.
• The whole procedure usually takes 1–2 hours.

What You Can Expect Before, During and After Procedure?

• Before the Procedure:
• Pre-surgery blood tests and imaging will be done.
• You will meet your anesthesiologist to discuss the type of anesthesia.
• Fasting for 6–8 hours is usually required.
• During the Procedure:
• You will be under anesthesia (general or spinal).
• Surgery will last about 1 to 2 hours.
• The team monitors vital signs and ensures safety throughout.
• After the Procedure:
• You will be in recovery for a few hours.
• Mild pain or discomfort is expected but manageable with medication.
• You may go home the same day or stay overnight, based on your condition.
• Avoid heavy work and lifting for a few weeks.
• A follow-up appointment is scheduled to monitor healing.

Risk and Potential Complications

• Bleeding or infection at the surgery site.
• Damage to surrounding organs like bladder or bowel.
• Scar tissue (adhesions) inside the abdomen.
• Recurrence of cysts in the future.
• Reaction to anesthesia or medication.
• Possible hormonal imbalance in rare cases.
• Temporary or rare infertility if ovary is affected.
• Mild side effects after ovarian cyst removal like bloating or discomfort.

Results/Outcomes

• Most women recover fully and resume normal life within 2–3 weeks.
• Pain and symptoms caused by the cyst are usually relieved.
• Ovarian cyst operation helps preserve fertility and hormone function.
• Ovarian cyst removal surgery improves quality of life in the long run.
• Early treatment prevents future complications like rupture or torsion.
• Follow-up scans help confirm cyst is completely removed.
• Fertility usually returns to normal unless ovary removal was required.