Οι Cysts are fluid-filled sacs that develop on a woman’s ovaries. During a normal menstrual cycle, small cysts may form and then disappear once the next period begins.
This occurs throughout the reproductive years for most women. These cysts are usually harmless and cause minimal discomfort. However, some cysts may enlarge, some may contain blood, and others may twist, leading to complications such as bleeding and/or pain, which may require surgical treatment.
Some cysts grow larger and must be treated either with medication or by surgical removal. A small percentage of cysts are serious because they may rupture or become cancerous.
Although young women are more prone to developing cysts, the majority are benign and go away without treatment. Some cysts can cause pain during intercourse or create a feeling of fullness/pressure in the abdomen.
Most ovarian cysts are benign (non-cancerous). Some types of benign ovarian cysts include:
Diagnosis may involve a physical examination, blood tests for ovarian tumor markers (CA-125), ultrasound, and laparoscopy.
Η endometriosis may contribute to the development of pathological cysts when endometrial tissue becomes displaced and grows on the ovaries. These cysts are often called “chocolate cysts,” because they contain old dark blood.
Each month, this tissue bleeds, but the blood becomes trapped inside the cyst, causing it to grow. Some can grow to the size of a grapefruit! Eventually, these cysts may rupture, potentially damaging the ovary and causing severe pain.
Treatment includes monitoring and laparoscopic surgery.
If a cyst has been identified and you would like detailed personalized medical guidance, please register for our secure service and complete the structured questionnaire. All information remains confidential. You will then receive a detailed evidence-based report tailored to your condition, provided directly by an experienced specialist.
Ovarian cystectomy is a surgical procedure used to remove one or more cysts from the ovary. Laparoscopic surgery is a minimally invasive technique that requires only a few small incisions in the abdominal area.
Many women will develop at least one ovarian cyst in their lifetime. Most cysts cause little to no symptoms. However, if a cyst causes painful or bothersome symptoms, surgical removal may be the best treatment option.
An ovarian cyst may need to be removed if it:
A small incision is made just below the navel, and a laparoscope — a thin tube with a camera — is inserted. Carbon dioxide gas is used to inflate the abdomen for better visualization. Once the cyst is located, one or two additional small incisions are made to insert surgical instruments. The cyst is removed and sent for a pathology examination. If cancer is detected, both ovaries may need to be removed. The instruments are withdrawn, and the incisions are closed with stitches or staples and covered with dressings. If laparoscopy is not feasible, the surgeon may convert to an open abdominal surgery (laparotomy) using a larger incision.
This procedure has low risks, but some potential complications include:
Before the procedure, the surgical team will discuss:
Pre-operative preparation includes:
Full recovery takes up to 2 weeks. Physical activity will be limited during this time. Intercourse should be avoided. Seek assistance with daily tasks and delay returning to work if possible.
Contact your gynecologist if you experience:
After surgery, abdominal and navel soreness and bruising are common.
Shoulder and back pain may occur due to the gas used during laparoscopy. Some light vaginal spotting may also occur. The abdominal incisions are closed with dissolvable stitches and may be covered with adhesive dressings.
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