Ovarian Cyst Removal
Ovarian cysts are fluid-filled sacs on the ovary. Laparoscopic cystectomy removes the cyst while preserving the ovary and fertility.
Overview
Ovarian cysts are common in women of reproductive age. While most are benign and resolve spontaneously (functional cysts), some persist, grow, or cause symptoms. Pathological cysts — dermoid, endometriotic (chocolate), or cystadenomas — may require surgical removal, especially if large, painful, or suspicious.
Laparoscopic ovarian cystectomy removes the cyst through small incisions while preserving healthy ovarian tissue. This is crucial for women who wish to maintain fertility. Surgery is typically day-care, and patients return to regular activities within a week.
Causes
- Hormonal imbalance during the menstrual cycle
- Endometriosis — endometrial tissue implants on the ovary
- Polycystic ovary syndrome (PCOS)
- Pregnancy-related (corpus luteum cyst)
- Pelvic infections
Symptoms
- Pelvic pain — dull ache or sharp pain on one side
- Bloating and abdominal fullness
- Pain during intercourse
- Irregular or painful periods
- Frequent urination (if cyst presses on the bladder)
- Sudden severe pain if the cyst ruptures or undergoes torsion
Diagnosis
- Pelvic ultrasound — transvaginal approach provides the clearest view of ovarian cysts
- CA-125 blood test — tumour marker elevated in some ovarian cancers (but also benign conditions)
- MRI — for complex cysts when cancer risk needs evaluation
- Pregnancy test — rules out ectopic pregnancy
Treatment Options
Laparoscopic cystectomy
The cyst is removed while preserving the ovary. 2-3 small incisions. Fertility-preserving.
Oophorectomy
Removal of the entire ovary — used if the cyst has destroyed ovarian tissue or cancer is suspected.
Watchful waiting
Small, simple cysts under 5cm are monitored with repeat ultrasound rather than operated immediately.
Frequently Asked Questions
Can ovarian cysts affect fertility?
Some cysts (endometriomas, PCOS-related) can affect fertility. Removing the cyst while preserving the ovary often improves fertility outcomes.
Do ovarian cysts come back after surgery?
Functional cysts may recur. The risk depends on the underlying cause — endometriomas have a higher recurrence rate.
Ready to Discuss Your Treatment?
Our ovarian cyst removal specialists in Kondapur are here to help. Most consultations available within 24 hours.