Ovarian Cysts

Expert Diagnosis and Minimally Invasive Treatment for Ovarian Cysts: Comprehensive Care at Dr. Ezwana Clinic, Led by Consultant Obstetrician & Gynecologist Dr. Ezwana Elias

At Dr. Ezwana Clinic, under the expert guidance of Consultant Obstetrician & Gynecologist Dr. Ezwana Elias, we provide comprehensive care for a wide range of gynecological conditions, including ovarian cysts. Ovarian cysts are fluid-filled sacs that can develop on or inside the ovaries. While most are benign (non-cancerous) and tend to resolve on their own without causing any problems, some may persist, grow, or cause complications, requiring medical attention.

Understanding the Types of Ovarian Cysts

There are two main categories of ovarian cysts:

• Simple (Functional) Cysts: These are the most common type and are often related to the normal menstrual cycle. They typically form during ovulation when a follicle on the ovary doesn’t release an egg or when the follicle reseals after releasing the egg and fills with fluid. These functional cysts are usually small, don’t cause symptoms, and typically disappear on their own within a few menstrual cycles.
• Complex (Pathological) Cysts: These types of cysts are less common and may not be related to the normal menstrual cycle. They can include dermoid cysts (containing tissue like hair, skin, or teeth), cystadenomas (developing from the outer surface of the ovary), and endometriomas (related to endometriosis). Complex cysts may not go away on their own and may require medical or surgical intervention.

Why Do Some Ovarian Cysts Need to Be Removed?

While the majority of ovarian cysts are benign and resolve spontaneously, certain cysts can pose potential health risks and may necessitate removal:

• Rupture: An ovarian cyst can rupture or break open, which can lead to internal bleeding and sudden, severe pelvic pain.
• Ovarian Torsion: A larger cyst can sometimes cause the ovary to twist on its supporting ligaments and blood supply, a painful condition known as ovarian torsion. This can cut off blood flow to the ovary and often requires emergency surgery.
• Persistent Growth: If an ovarian cyst continues to grow larger, it can exert pressure on surrounding pelvic organs such as the bladder or bowel, leading to discomfort, pain, or changes in urinary or bowel habits. In some cases, a large cyst can also affect fertility.
• Cancer Risk: Although rare, some ovarian cysts, particularly complex cysts, may contain abnormal or cancerous cells. Surgical removal and pathological examination are necessary to determine if a cyst is malignant.

In many cases, when a complex cyst is identified and poses a risk of complications or is causing significant symptoms, elective surgery is often recommended to remove the cyst before an emergency situation arises.

How Are Ovarian Cysts Treated at Dr. Ezwana Clinic?

At Dr. Ezwana Clinic, we specialize in the diagnosis and minimally invasive treatment of ovarian cysts. Dr. Ezwana Elias is highly skilled in performing laparoscopic cystectomy, a surgical procedure that aims to remove the cyst while preserving the healthy ovarian tissue whenever possible, ensuring the best outcome for your reproductive health.

Laparoscopic Cystectomy – A Minimally Invasive Approach

Laparoscopic cystectomy offers several advantages over traditional open surgery:

• Small Incisions: The procedure is performed through small incisions, typically ranging from 0.5 to 1 centimeter, resulting in minimal scarring.
• Faster Recovery with Minimal Pain: Patients generally experience a faster recovery period with less post-operative pain compared to open surgery.
• Less Scarring and Lower Infection Risk: The small incisions also contribute to less visible scarring and a lower risk of infection.
• Cyst Removal with Pathology Testing: During the laparoscopic procedure, the cyst is carefully removed and sent for pathological examination to confirm whether it is benign or if any abnormal cells are present.
• Considerations for Postmenopausal Women: For women who have gone through menopause, the removal of both ovaries (oophorectomy) may be recommended in certain situations, such as with specific types of complex cysts, to eliminate the risk of future cysts or ovarian cancer. This decision is always made in consultation with the patient after a thorough discussion of the risks and benefits.

How Can a Gynaecologist Help at Dr. Ezwana Clinic?

Our dedicated team at Dr. Ezwana Clinic, led by Dr. Ezwana Elias, provides comprehensive care for women with ovarian cysts. We will:

• Determine if your cyst is harmless or requires treatment: Through careful evaluation, including ultrasound imaging, we can assess the characteristics of your cyst and determine the appropriate course of action.
• Monitor simple cysts with follow-up ultrasounds: If your cyst appears to be a simple functional cyst, we may recommend monitoring it with follow-up ultrasound scans to ensure it resolves on its own.
• Recommend surgery if needed, using the latest minimally invasive techniques: If surgery is necessary to remove a persistent or problematic cyst, we will utilize advanced laparoscopic techniques to minimize discomfort and promote a faster recovery.
• Evaluate cancer risk and collaborate with specialists if necessary: In cases where there is a concern for cancer, we will conduct a thorough evaluation and collaborate with oncology specialists to ensure you receive the most appropriate and comprehensive care.

At Dr. Ezwana Clinic, we understand that every woman’s condition is unique. We are committed to providing personalized treatment plans tailored to your specific needs and concerns, ensuring the best possible care for your reproductive health. If you have been diagnosed with an ovarian cyst or are experiencing unexplained pelvic pain, we encourage you to schedule a consultation with Dr. Ezwana Elias today to explore your treatment options and receive expert guidance.