Ovarian cyst removal is usually recommended when cysts are large, solid, shaped in irregular forms, suspected of being cancerous, twisted, ruptured, or causing severe pain. Older patients with ovarian cysts are more likely to need to have them removed since the likelihood of having a cancerous cyst increases with age.
Prior to the removal of the ovarian cyst, a doctor will usually perform a physical exam on the patient. They will also conduct a review of medications, a urine test, and a blood test. They may do a CT scan and X-ray of the abdomen to confirm their diagnosis before considering ovarian cyst removal.
In order to remove an ovarian cyst, a doctor may choose to perform either laparoscopic surgery or open surgery, depending on the type of ovarian cyst that is removed. It is common to perform open surgery on larger cysts.
In laparoscopic surgery, a slim tube called a laparoscope is introduced into the patient's body by making a small incision in the lower abdomen. It is very helpful in locating the ovarian cyst as well as to guide its removal.
To excise a particularly large cyst, the physician may need to perform a surgical procedure for ovarian cyst removal using general anesthesia. The patient may suffer some discomfort after the operation. Complications such as infection and bleeding may occur as well. The patient must recognize that further cysts may develop in the future. And, while it is rare, the patient may also become infertile and/or suffer clotting.
If ovarian cancer is not detected during the surgery, it is highly unlikely that the patient will suffer any complications. Full recovery is expected within weeks after the surgery. On the other hand, if ovarian cancer is detected, then the patient may have to have one or both ovaries removed either during the surgery or in another surgery. Treatment of ovarian cancer would need to follow.
After an ovarian cyst has been removed, inform your doctor of any conditions such as excessive pain or bleeding, fever or chills, shortness of breath, nausea, vomiting, abdominal swelling, or any other unusual symptoms. Like any other surgery, ovarian cyst removal requires recovery time and monitoring for any complications.