cystectomy
Ovarian Cysts are common among women of reproductive age group. Large number of these cysts are not cancers. Usual method by which cysts are managed is watchful waiting. In situations where it is indicated, operations are done. Most commonly they are performed through a laparoscope.
In most cases, ovarian cysts disappear in a few months without the need for treatment.
Whether treatment is needed will depend on:
- its size and appearance
- whether you have any symptoms
- whether you have had menopause
Watchful waiting
A policy of "watchful waiting" is recommended.
- This means you won't receive immediate treatment, but you may have an ultrasound scan a few weeks or months later to check if the cyst has gone.
Surgery
Indications for surgery
- Large or persistent ovarian cysts,
- cysts that are causing symptoms,
- concerns that the cyst could be cancerous or could become cancerous.
There are TWO types of surgery used to remove ovarian cysts:
- laparoscopy (keyhole surgery)
- laparotomy (open surgery)
These are usually carried out under anaesthetic.
Laparoscopy
Most cysts can be removed using laparoscopy and is preferred because it causes less pain and has a quicker recovery time. Most women are able to go home on the same day or the following day.
Laparotomy
If your cyst is particularly large, or there is a chance it could be cancerous, a laparotomy may be recommended.
After surgery
After the ovarian cyst has been removed, you will feel pain in your tummy, although this should improve in a day or two.
Following laparoscopic surgery, you will probably need to take things easy for two weeks. Recovery after open surgery will usually take longer, possibly around six to eight weeks.
If the cyst is sent off for testing, the results should come back in a few weeks and your consultant will discuss with you whether you need any further treatment.
Contact your doctor if you notice the following symptoms during your recovery:
- heavy bleeding
- severe pain or swelling in your abdomen
- a high temperature (fever)
- dark or smelly vaginal discharge
- These symptoms may indicate an infection.
POINTS TO REMEMBER
- ovarian cysts are common and most have no symptoms
- most cysts are not cancerous
- usually treated by watchful waiting
- if an operation is needed it is done through a laparoscope
- have an yearly ultrsound scan to detect cysts
- if you are menopausal having a cyst should be taken seriously