Ovarian cyst surgery is a procedure to remove an ovarian cyst when surgery is considered medically necessary.
For suitable patients, the cyst may be removed using laparoscopic surgery, which involves small abdominal incisions and specialized surgical instruments. The choice of procedure depends on the cyst and the patient's overall condition.
Dr. Sonu Singh emphasizes conservative, fertility-preserving techniques to maintain ovarian reserve whenever surgery is required.
Surgery may be considered when an ovarian cyst:
Causes persistent pelvic or abdominal pain, deep ache, or sharp pain during movement or intercourse.
Is large (often > 5-6 cm) or shows progressive enlargement on serial ultrasound scans over time.
Has a complex, multi-loculated, thick-walled, or concerning appearance on ultrasound or pelvic MRI.
Does not resolve with observation when expected across 2-3 consecutive menstrual cycles.
Causes pressure or other symptoms such as urinary frequency, pelvic heaviness, or bowel discomfort.
Is associated with endometriosis, causing inflammatory damage and pelvic adhesions that threaten fertility.
Requires definitive histopathological diagnosis or surgical evaluation based on imaging, tumour markers, or clinical findings.
Not every ovarian cyst requires surgery. Many cysts can be monitored and may resolve without treatment.
When laparoscopic surgery is appropriate, a small camera and specialized instruments are used through small abdominal incisions to access the ovary.
The aim is to treat the cyst while preserving as much healthy ovarian tissue as reasonably possible, particularly in women who wish to preserve their fertility. The surgical approach depends on the type and characteristics of the cyst.
Microscopic dissection minimizes collateral thermal injury, saving primordial egg follicles for natural conception.
Most patients are discharged within 24 hours with minimal discomfort and quick resumption of daily activities.
Some ovarian cysts can affect fertility, while surgery itself may also affect ovarian tissue depending on the type and extent of the cyst.
For women who wish to become pregnant, the decision to operate should therefore consider age, ovarian reserve (AMH), cyst type, symptoms and fertility plans.
Dr. Sonu Singh evaluates these factors before recommending surgery, ensuring that each patient receives personalized guidance balancing symptom relief with ovarian reserve protection.
Specialized laparoscopic training, extensive surgical volume, and dedicated fertility-conscious ovarian preservation.
Extensive experience in complex gynaecological endoscopic procedures.
Specialized experience in minimally invasive gynaecological surgery.
Focused experience in endometriosis excision surgery, including ovarian endometriomas.
Advanced surgical training in India, Italy and France.
Treatment planning considers ovarian health and future fertility goals when relevant.
Common questions regarding ovarian cysts, laparoscopic removal, and fertility preservation.