Laparoscopic ovarian cystectomy

A laparoscopic ovarian cystectomy (keyhole surgery) is a type of keyhole surgery used to treat ovarian cysts.

An ovarian cyst is a sac that is formed in a woman’s ovary. Ovarian cysts are very common in women of reproductive age as most of the cysts identified are physiological due to the normal process of the menstrual cycle.

However, ovarian cysts are also common in menopausal women.

There are different types of cysts:

Physiological cysts – formed by the process of ovulation. When the egg is released from the ovary, a small cyst called corpus luteum persists. If the egg is not fertilised, this cyst starts breaking down after 14 days
Pathological cysts – due to overgrowth of cells of the ovary. The majority of these cysts are non-cancerous. Only a very small proportion of ovarian cysts can be cancerous and this is the case usually in women who have gone into the menopause. Ovarian cysts can be caused by endometriosis. These are non-cancerous cysts called endometriotic cysts or ‘chocolate cysts’ as their content is old blood that looks like melted chocolate. Another common non-cancerous cyst is a dermoid cyst that may contain hair, skin, fatty fluid or even teeth

A laparoscopic ovarian cystectomy starts from around £6,750.*

Our price package includes the cost of your surgery and all appropriate aftercare appointments. Our costs include all surgery fees and aftercare appointments with our Consultants.

However, any pre-surgery diagnostic tests and your consultant’s outpatient appointment consultation fee are charged separately. We provide fixed term monthly payment plans over one to five years with no deposit required. If you decide to pay over 12 months, you will pay interest-free. If you are paying for a longer period, you will pay 9.9% APR.

Our flexible payment options help you spread the cost of your payment across a time period that suits you. More details on our flexible payment options can be found here.

*This is a guide price for patients who are paying for their own treatment. The actual cost of your treatment will be confirmed in writing at the time of booking.

Commonly ovarian cysts don’t cause any symptoms especially when they are small. When the cyst increases in size it can cause:

Pressure symptoms
Pelvic pain
Pain during intercourse
Frequency in passing urine
Difficulty in opening the bowels

Occasionally, there can be bleeding inside the cyst or the cyst can burst and this can cause:

Severe pelvic pain
Shoulder tip pain

Finally, a cyst or the whole ovary can twist and this can cause:

Sudden twisting pain
Vomiting

The best way to diagnose an ovarian cyst is by doing an ultrasound scan. This can be done either over your tummy or by an internal scan using a probe placed into the vagina.

The management of ovarian cysts depends on a number of factors:

Your symptoms
Your fertility wishes
Your age
The type of cyst

If the cyst that you have is not causing any symptoms, if it is physiological and if it does not have any concerning signs, your gynaecologist may suggest to conservatively manage the cyst that is to keep an eye on the cyst by having a scan every few months to ensure that the cyst is not getting bigger.

However, if your cyst causes symptoms like pelvic pain, then your gynaecologist may suggest having the cyst treated with surgery. The majority of the times, ovarian cysts are treated laparoscopically through key-hole surgery. Very rarely, if the cyst is too big or if there are worrying signs on the cyst, an open operation may be recommended to you.

You will have a keyhole surgery where the ovary with the cyst will be identified. A small cut on the surface of the ovary is performed in order to expose the cyst wall. Then the cyst is gradually dissected from the ovary and removed. During the dissection the cyst may rupture but this is not a problem as the cyst content can be removed with suction.

The ovary is left open but it heals back to its normal shape. If the cyst removed is too big and the defect on the ovary is big some surgeons may choose to suture the ovary closed. During the excision of the cyst there may be some bleeding from the ovary that can be controlled by applying thermal energy to the ovary. This can rarely damage some of the egg reserve of the ovary therefore some surgeons prefer again to suture the ovary to stop the bleeding rather than using thermal energy.

If you have gone through the change (menopause), if your family is complete and you are near the age of menopause, or if there are any worrying signs on the ovarian cyst, your gynaecologist may suggest removing the whole of the ovary rather than just the cyst itself. This can also be done through keyhole surgery but sometimes an open procedure may be recommended. This is called laparoscopic or open oophorectomy.

The specific risks for ovarian cystectomy are:

Damage of egg reserve
The cyst may come back
If there is excessive bleeding from the ovary, the surgeon may have to remove the whole of the ovary to stop you bleeding

Content for this treatment has been provided by Mr Ilias Nikolopolous at The Park Hospital

When you choose to go private with Circle Health Group, you can expect:

Flexible appointment times and locations to fit your routine
The freedom to choose which hospital and Consultant suit your needs
Personalised, Consultant-led treatment plans tailored to your individual needs
Comfortable and safe private facilities maintained by expert multidisciplinary teams
Support by the same compassionate clinical team from beginning to end
Affordable, fixed-price packages with aftercare included
Flexible payment options to spread the cost of your care

If you would like to learn more about this procedure, book your appointment online today or call a member of our team directly on 0141 300 5009.