Ovarian cysts are fluid-filled sacs that develop on or inside a woman’s ovaries. While most cysts are harmless and resolve on their own, some may grow larger, cause symptoms, or even lead to complications. In such cases, surgical removal of the cyst — called Cystectomy — may be recommended.
As a leading Obstetrician and Gynecologist in Kharadi, Pune, Dr. Shipra Kunwar specializes in treating ovarian cysts with advanced surgical techniques, ensuring the best outcomes with minimal discomfort.
A Cystectomy is a surgical procedure to remove an ovarian cyst while preserving the ovary. Unlike oophorectomy (removal of the ovary), a cystectomy focuses on eliminating only the cyst, which is important for women who wish to maintain their fertility or avoid early menopause.
Not all ovarian cysts require surgery. A cystectomy is recommended in situations such as:
Large cysts (usually >5-10 cm in size)
Persistent cysts that do not resolve after a few menstrual cycles
Cysts causing pain, bloating, or pressure symptoms
Complex cysts with solid areas or septations seen on ultrasound
Suspicion of cancer (rare, but requires evaluation)
Torsion (twisting of the ovary due to the cyst)
Ruptured cysts causing internal bleeding
Dr. Shipra Kunwar conducts thorough assessments, including pelvic ultrasounds and blood tests, to determine the need for surgery.
There are primarily two methods to perform a cystectomy:
Performed using small incisions and a camera (laparoscope)
Less pain, faster recovery, minimal scarring
Commonly preferred for benign cysts and fertility preservation
Requires a larger incision on the abdomen
Recommended in cases of very large cysts or suspicion of malignancy
Dr. Kunwar prefers laparoscopic cystectomy whenever possible, as it offers better cosmetic and recovery outcomes for patients.
The surgical steps generally include:
Anesthesia: The procedure is done under general anesthesia.
Accessing the Ovary: Small keyhole incisions are made for laparoscopic instruments.
Removal of Cyst: The cyst is carefully separated from the ovary without damaging healthy tissue.
Closure: After ensuring no bleeding, the ovary is preserved, and incisions are closed.
For larger or complex cysts, an open approach might be needed to ensure complete removal.
Smaller incisions, less post-operative pain
Faster recovery (usually back to normal in 1-2 weeks)
Minimal blood loss and scarring
Preserves ovarian function and fertility
Shorter hospital stay (often discharged within 24 hours)
Recovery is usually smooth, especially with laparoscopic surgery. Patients can expect:
Mild abdominal discomfort for a few days
Return to daily activities in a week
Avoid heavy lifting for 2-4 weeks
Follow-up visits for stitch removal and ultrasound check
Dr. Shipra Kunwar provides personalized post-operative care instructions to ensure a comfortable recovery.
One of the main advantages of cystectomy is preservation of fertility. By removing only the cyst and saving the healthy ovary, a woman’s chances of conceiving remain intact. However, multiple or recurrent cysts may affect ovarian reserve, which Dr. Kunwar assesses pre-surgery.
An ovarian cystectomy is a safe and effective solution for managing problematic ovarian cysts. With minimally invasive techniques, patients can expect quicker recovery, less pain, and preserved fertility.
If you're experiencing symptoms like pelvic pain, bloating, or irregular periods, consult Dr. Shipra Kunwar at her Kharadi clinic for expert evaluation and care.
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