Ovarian Cysts

Ovarian cyst removal is usually recommended when cysts are large, persistent, painful or suspicious for cancer. You may be a candidate if:

• The cyst is larger than 5 – 10 cm.
• It causes pelvic pain, bloating or pressure.
• It does not resolve after several menstrual cycles.
• Imaging or tumour markers suggest malignancy.
• There is a ruptured cyst or ovarian torsion.
• Endometriomas or polycystic ovaries are causing infertility or pain.

Women who are approaching menopause or are post-menopausal are more often advised to have cysts removed to rule out cancer risk.

Cysts are generally removed via laparoscopy or, for larger or suspicious masses, open surgery:

• Laparoscopic Cystectomy (minimally invasive): Small abdominal incisions and a laparoscope allow the surgeon to excise the cyst—preserving the ovary when possible. Recovery is quicker with less pain and scarring.
• Laparotomy (open surgery): A larger incision is used for very large cysts or when cancer is suspected; the cyst or the entire ovary may be removed.

Both procedures are performed under general anaesthesia. Most patients go home the same day after laparoscopy, or within 2 – 3 days after open surgery. Full recovery typically takes 1 – 4 weeks, depending on the technique used.