Ovarian Cystectomy in Mumbai – Dr. Maitreyee Parulekar
Ovarian cysts are fluid-filled sacs that develop on or inside an ovary. Many cysts are harmless and resolve without treatment, but some may grow, cause persistent pelvic pain, or require further investigation. When a cyst does not resolve or has concerning features, a gynaecologist may recommend surgery after assessing the patient’s symptoms, scan results, and overall health.
Dr. Maitreyee Parulekar is a gynaecological surgeon with specialised training in minimally invasive surgery, robotic surgery, and gynaecological oncology. She consults at Kirit Nursing Home in Vile Parle East, Mumbai, where patients can discuss ovarian cysts, treatment options, and fertility-related concerns.
For women exploring ovarian cystectomy in mumbai, understanding the procedure, its potential benefits, and the circumstances in which surgery may be recommended can help them prepare for an informed consultation.
What Is an Ovarian Cystectomy?
An ovarian cystectomy is a surgical procedure to remove a cyst from an ovary while preserving as much healthy ovarian tissue as possible. It may be recommended when a cyst causes symptoms, persists over time, grows, or has features that require further assessment.
The goal is to treat the cyst while protecting ovarian function where medically appropriate. However, preservation of the ovary and future fertility cannot be guaranteed in every case. The surgical approach depends on the cyst’s size, location, appearance, and suspected type, along with the patient’s age, medical history, and reproductive plans.
Ovarian cystectomy differs from an oophorectomy, which involves removing an ovary. In selected cases, removal of the entire ovary may be necessary for safety or because of the nature of the cyst. The surgeon should discuss these possibilities before surgery whenever circumstances allow.
What Are the Common Symptoms of Ovarian Cysts?
Some ovarian cysts cause no symptoms and are discovered during a routine pelvic examination or ultrasound. Others may produce discomfort or changes that warrant medical evaluation.
Common symptoms can include:
Persistent or intermittent pelvic pain.
A feeling of abdominal fullness, pressure, or bloating.
Pain during sexual intercourse.
Changes in menstrual patterns.
Pressure on the bladder, sometimes causing frequent urination.
Discomfort during bowel movements.
These symptoms can have several causes, so they should not automatically be attributed to an ovarian cyst. A gynaecologist can review the symptoms and recommend suitable investigations.
Seek urgent medical care for sudden, severe pelvic or abdominal pain, particularly when accompanied by vomiting, fever, dizziness, or fainting. These symptoms may indicate complications such as ovarian torsion or cyst rupture and require prompt assessment.
When Is Ovarian Cystectomy Recommended?
Not every ovarian cyst needs surgery. Many functional cysts resolve naturally, and a doctor may recommend observation with follow-up ultrasound when the cyst appears benign and the patient has no concerning symptoms.
Surgery may be considered in situations such as the following:
1. A Persistent or Growing Cyst
A cyst that remains present or increases in size over time may require further evaluation. The decision to operate depends on the imaging findings, symptoms, and the suspected nature of the cyst rather than size alone.
2. Persistent Pelvic Pain
If a cyst is associated with ongoing discomfort or affects daily activities, a specialist may assess whether removing it is likely to help. Other possible causes of pelvic pain should also be considered.
3. Suspicious Ultrasound Findings
Some cysts have characteristics that require assessment for possible malignancy. Depending on the findings, the doctor may recommend additional tests, specialist review, or a different surgical plan from a routine cystectomy.
4. Possible Complications
Ovarian torsion occurs when an ovary twists, potentially affecting its blood supply. A cyst may increase the risk of torsion in some circumstances. A ruptured cyst can also cause pain and, occasionally, significant internal bleeding. Suspected acute complications require urgent medical evaluation.
5. Fertility-Related Concerns
Some cysts, including certain endometriomas, may affect ovarian function or fertility. Treatment decisions should balance the potential benefits of surgery against the possibility of removing or damaging healthy ovarian tissue. Patients who wish to conceive should discuss their reproductive goals before proceeding.
How Is Ovarian Cystectomy Performed?
The surgical method depends on the cyst’s characteristics and the patient’s clinical needs. Two main approaches may be considered.
Laparoscopic Ovarian Cystectomy
Laparoscopic surgery uses small abdominal incisions, a camera, and specialised instruments. The surgeon examines the pelvic area and removes the cyst, aiming to preserve healthy ovarian tissue where possible.
For suitable patients, laparoscopy may offer smaller incisions, less postoperative discomfort, and a shorter recovery compared with open surgery. However, it is not appropriate for every cyst, and conversion to open surgery may occasionally be necessary for safety.
Open Surgery
Open surgery, also known as laparotomy, involves a larger abdominal incision. It may be recommended when a cyst is very large, has concerning features, or requires an approach that cannot safely be completed laparoscopically.
If malignancy is suspected, the operation may need to be planned with gynaecological oncology considerations in mind. The appropriate procedure should be selected after reviewing imaging, clinical findings, and any necessary additional tests.
Benefits and Risks of Ovarian Cystectomy
When surgery is indicated, ovarian cystectomy may relieve symptoms caused by the cyst, provide tissue for laboratory examination, and preserve the ovary in suitable cases. A minimally invasive approach may also reduce incision size and help some patients return to normal activities sooner.
Nevertheless, ovarian cystectomy is still surgery and carries potential risks. These include bleeding, infection, injury to nearby structures, blood clots, anaesthesia-related complications, and the formation of scar tissue. There is also a possibility that a cyst may recur or that ovarian function could be affected.
The extent of these risks varies with the cyst’s type, the complexity of surgery, and the patient’s health. Your surgeon should explain the risks and expected benefits relevant to your individual situation.
Why Consider Dr. Maitreyee Parulekar?
Selecting a gynaecological surgeon involves assessing specialist qualifications, surgical training, experience with the relevant condition, and the ability to explain treatment choices clearly.
Dr. Maitreyee Parulekar holds an MBBS from Maharashtra University of Health Sciences, Nashik, and an MS in Obstetrics and Gynaecology from Seth G. S. Medical College and K. E. M. Hospital, Mumbai, where she graduated with a university gold medal. She is a Member of the Royal College of Obstetricians and Gynaecologists in the United Kingdom (MRCOG) and holds a Fellowship in Minimal Access Surgery (FMAS).
Her advanced training includes a fellowship in gynaecological oncology and robotic surgery at Seoul National University Hospital in South Korea. She has also undertaken visiting-scholar training in minimally invasive gynaecology at Mount Sinai Hospital and Women’s College Hospital in Toronto, Canada.
Her clinical expertise includes laparoscopic and robotic gynaecological surgery, ovarian procedures, treatment of benign gynaecological conditions, and surgery for selected gynaecological cancers. She has contributed to national and international peer-reviewed publications and presented research at professional conferences.
For patients seeking a Top Gynae Oncologist In Mumbai, these qualifications and areas of expertise may be relevant when evaluating specialist care, particularly when an ovarian cyst has complex or suspicious features.
Dr. Parulekar consults at Kirit Nursing Home in Vile Parle East. During a consultation, patients can discuss their symptoms, ultrasound reports, treatment alternatives, and any concerns about preserving ovarian function.
Recovery After Ovarian Cystectomy
Recovery depends on the surgical approach, the nature of the cyst, and the patient’s general health. Following laparoscopic surgery, some patients return to light daily activities within a few days, although full recovery may take one to several weeks. Open surgery generally requires a longer recovery period.
Your surgeon will provide instructions on wound care, pain relief, activity restrictions, and follow-up appointments. Avoid heavy lifting and strenuous exercise until you are advised that it is safe to resume them.
Follow-up may include a review of the surgical findings and laboratory results. Contact your healthcare provider promptly if you experience fever, worsening pain, heavy bleeding, wound problems, or other unexpected symptoms.
Book a Consultation with Dr. Maitreyee Parulekar
If you have been diagnosed with an ovarian cyst or are experiencing persistent pelvic pain, bloating, or menstrual changes, a specialist consultation can help determine whether observation, further investigations, or surgery is appropriate.
Dr. Maitreyee Parulekar can review your symptoms and diagnostic reports, explain the available treatment options, and discuss how your individual health and fertility goals may influence the treatment plan.
Call: +91 72087 27500
Email: info@drmaitreyeegynec.in
Call the clinic to schedule a consultation with Dr. Maitreyee Parulekar and take an informed next step towards your gynaecological health.
Frequently Asked Questions
1. Does every ovarian cyst require surgery?
No. Many ovarian cysts resolve without surgery. The need for treatment depends on the cyst’s appearance, size, persistence, symptoms, and possible complications. Some cysts require monitoring, while others need surgical evaluation.
2. Can ovarian cystectomy preserve fertility?
In many cases, the surgeon can remove the cyst while preserving the ovary and healthy ovarian tissue. However, fertility outcomes depend on the cyst type, ovarian reserve, the extent of surgery, and other reproductive factors. Discuss fertility goals with your surgeon before treatment.
3. How long does recovery from ovarian cystectomy take?
Recovery varies. Some patients resume light activities within a few days after laparoscopic surgery, while complete recovery may take one to several weeks. Open surgery usually requires more recovery time. Follow your surgeon’s individual instructions.
4. How can I consult Dr. Maitreyee Parulekar for ovarian cyst treatment?
You can contact Kirit Nursing Home to enquire about an appointment with Dr. Maitreyee Parulekar. Call +91 72087 27500 or email info@drmaitreyeegynec.in to confirm appointment availability.
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