Ovarian cysts are symptomless most of the times but may cause variable abdominal or pelvic pain or pain during intercourse. If the cyst is large, it may cause twisting of the ovary that leads to pain.
Ovarian cysts may be diagnosed during a routine pelvic examination, such as a Pap smear. I may recommend tests such as vaginal ultrasound, CT or MRI scan. If you are a menopausal woman, then in addition to the ultrasound I may order blood tests to measure tumour markers (substances produced by certain types of cysts) which give useful information in the diagnosis and prognosis.
Most ovarian cysts will resolve on their own without any treatment. Birth control pills may be prescribed to reduce the formation of new ovarian cysts. Surgery is an option if the cyst does not go away, is larger in size, or causes pain and also in menopausal women or who are nearing menopause. Cystectomy is a surgical excision of an ovarian cyst.
Cystectomy is a surgical procedure during which the ovarian cyst is removed via laparoscopy or very occasionally open surgery approach. A laparoscopic cystectomy procedure is a minimally invasive surgery during which a laparoscope, a long thin instrument with a camera attached at one end is used. The procedure is usually done under general anaesthesia and a small incision in the navel.
A laparoscope is inserted through this incision to see the inside of your pelvis and abdomen. Carbon dioxide gas is introduced into the abdominal cavity to create more space to work. I will identify the cyst through the laparoscope and remove the cyst. This technique is usually used to remove small cysts. A laparoscopic cystectomy removes only the cyst leaving the ovaries intact. However, if the cyst is too large or connected to ovarian tissue, a decision, in consultation with you may be made to remove all or part of the ovary.
Following ovarian cyst removal, complete recovery usually takes about one to two weeks. The ovaries return to normal function after a cystectomy is performed.