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Cyst Removal
Gynecology

Cyst Removal

A cyst is a small fluid-filled sac that can grow on your ovary. Sometimes it is necessary to remove an ovarian cyst that is causing symptoms.

When Should a Cyst Be Removed?

Most ovarian cysts are harmless and will go away by themselves, often without causing any symptoms. The cyst may simply need to be monitored until it disappears. However, if a cyst grows large enough or if you have many small cysts, they can begin to cause problems. If you are experiencing pain or other symptoms such as heavy periods or bloating, it can be best to remove the cyst. Cysts may also need to be removed if there is a risk that they could burst as this could be very painful. Your doctor will also recommend a cyst removal if there is a chance that the growth could be cancerous.

What to Expect

Ovarian cyst removal is a surgical procedure that can usually be performed laparoscopically. The procedure will be done as keyhole surgery through several small incisions in your abdomen. A small camera will be inserted through one of the incisions so that surgeons can see what they are doing. In some cases, open surgery may be required to remove large or potentially cancerous ovarian cysts. The surgery will be performed under general anaesthetic.

What Happens Next

When you wake up after the cyst removal operation, you will feel a little drowsy from the anaesthetic. If you have had a laparoscopic procedure, you should be able to go home the same day. You will need to rest at home for a while, until the surgical incisions have healed. Since the incisions made during laparoscopic surgery are smaller than for open surgery, the recovery time will be quicker. The risk of complications such as infections is also lower with laparoscopic surgery. Once your ovarian cysts have been removed, the symptoms they were causing should disappear. If there is a chance the growths could be cancerous, they will be tested in the lab.

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Frequently Asked Questions

Common Questions

An ovarian cystectomy is surgical removal of a cyst from the ovary while preserving the healthy ovarian tissue. It is distinct from oophorectomy (removal of the entire ovary), which is reserved for specific situations.

In the majority of cases, yes. Laparoscopic (keyhole) cyst removal involves 3u20134 small incisions, a camera, and precision instruments. It offers less pain, faster recovery, and minimal scarring compared to open surgery.

No. Many cysts u2014 particularly functional cysts u2014 resolve naturally within 2u20133 menstrual cycles and are managed with watchful waiting and repeat ultrasound. Treatment decisions are based on cyst type, size, symptoms, and imaging characteristics.

As with all laparoscopic procedures, risks include bleeding, infection, and rarely damage to surrounding structures. Specific to cyst removal is the risk of recurrence (particularly for endometriomas) and a small reduction in ovarian reserve.

Ovarian cysts in premenopausal women are very rarely cancerous u2014 the vast majority are benign. All removed tissue is routinely sent for histopathological analysis. In the uncommon case of malignancy, prompt follow-up management is arranged.

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