Ovarian Cystectomy

What Is an Ovarian Cystectomy?

An ovarian cystectomy is a surgical procedure to remove a cyst from the ovary while keeping the ovary intact. This procedure is commonly performed when a cyst is causing symptoms, growing in size, or has suspicious characteristics. It helps relieve pain, improves ovarian function, and prevents complications like cyst rupture or twisting (torsion).

What Are the Common Symptoms of Ovarian Cysts?

• Pelvic pain, ranging from mild discomfort to severe cramping.
• Bloating or a feeling of fullness in the abdomen.
• Irregular menstrual cycles, heavy bleeding, or spotting.
• Pain during intercourse or bowel movements.
• Frequent urination or pressure on the bladder.

When Is Surgery Recommended for an Ovarian Cyst?

Ovarian cystectomy is advised when:

• The cyst is large (typically over 5 cm in size).
• There is persistent pain, bloating, or discomfort.
• The cyst appears suspicious for malignancy.
• Fertility is a concern, and the cyst is affecting ovarian function.
• The cyst is causing complications such as torsion or rupture.

How Is Ovarian Cystectomy Performed?

The procedure can be performed using two techniques:

• Laparoscopic Ovarian Cystectomy: A minimally invasive surgery using small incisions and a camera for precision.
• Open Surgery (Laparotomy): Recommended for larger or potentially cancerous cysts.
  The choice of procedure depends on the cyst’s size, location, and type.

What Are the Benefits of a Laparoscopic Ovarian Cystectomy?

• Smaller incisions lead to minimal scarring.
• Faster recovery with most patients resuming activities in a few days.
• Less postoperative pain compared to open surgery.
• Lower risk of complications such as infection and excessive bleeding.

Is Fertility Preserved After an Ovarian Cystectomy?

Yes, in most cases, ovarian function remains intact. The surgery focuses on removing the cyst while preserving healthy ovarian tissue. Women who wish to conceive in the future should discuss fertility concerns with their doctor to ensure the best approach is chosen.

What Happens Before, During, and After Surgery?

Before surgery, patients undergo routine tests, including blood work and imaging, to assess overall health. The procedure is performed under general anesthesia, ensuring no pain is felt. During surgery, the surgeon makes small incisions for a laparoscopic approach or a larger one for open surgery. After surgery, patients are monitored in a recovery room before being discharged, typically within a day for laparoscopic procedures. Post-operative care includes managing mild pain, monitoring for complications, and gradually resuming normal activities.

How Long Does the Recovery Take?

Recovery time varies based on the surgical method. Laparoscopic cystectomy patients can resume daily activities within a few days, with full recovery in 1-2 weeks. Open surgery may require a hospital stay and up to 4-6 weeks of recovery. Following the doctor’s advice on rest, movement, and wound care is crucial for a smooth healing process.

What Should I Eat After Surgery?

A light diet is recommended immediately after surgery, focusing on easily digestible foods like soups, fruits, and soft meals. Staying hydrated is essential to aid recovery. Gradually reintroducing a balanced diet, including fiber-rich foods, helps prevent constipation, a common post-surgery concern.

When Will My Periods Normalize After Surgery?

Most women experience temporary changes in their menstrual cycle after ovarian cystectomy. Periods may be irregular for a few months as the body adjusts. If the cystectomy involves hormone-producing cysts, menstrual cycles may take longer to stabilize. Discussing any concerns with your doctor ensures proper hormonal balance and reproductive health.

When Should I Follow Up with My Doctor?

A follow-up appointment is usually scheduled within 1-2 weeks after surgery to monitor healing and address any concerns. Patients should report any unusual pain, fever, or heavy bleeding immediately. Long-term follow-ups may be recommended to ensure ovarian health and prevent recurrence. Most patients return home the same day or after a short hospital stay. Mild discomfort and bloating may persist for a few days. Full recovery usually takes about 1-2 weeks for laparoscopic surgery, while open surgery may require a longer recovery period. Avoiding heavy lifting and strenuous activity helps speed up healing.

Are There Any Risks Associated with Ovarian Cystectomy?

Like any surgery, ovarian cystectomy carries some risks, including:

• Bleeding or infection at the surgical site.
• Scar tissue formation that may affect fertility in rare cases.
• Ovarian torsion or recurrence of cysts in the future.
• Possible need for additional treatment if the cyst is found to be malignant.

How Does Ovarian Cystectomy Compare to Other Treatment Options?

• Watchful Waiting: Some small, simple cysts resolve on their own without surgery.
• Hormonal Therapy: Birth control pills may help prevent new cysts but won’t remove existing ones.
• Oophorectomy: Removal of the entire ovary may be necessary in severe cases, but ovarian cystectomy preserves fertility.

If ovarian cysts are affecting your health and well-being, Ovarian Cystectomy in Mumbai offers a safe and effective surgical solution. Under the expertise of a gynecologist in Mumbai, you can undergo a minimally invasive procedure that ensures faster recovery and minimal discomfort. Dr. Maitreyee Parulekar specializes in advanced ovarian cyst treatments, providing expert care.