Cystectomy vs observation
Persistent simple cysts over 6 cm, complex cysts with suspicious features, cysts causing pain or torsion, suspected endometriomas, or dermoid cysts (mature teratomas).
Ovarian preservation
Stripping of the cyst wall with preservation of healthy ovarian cortex, careful haemostasis using minimal coagulation to preserve follicles, and specimen retrieval in protective bags to prevent peritoneal spillage.
Endometrioma and ovarian reserve
For endometriomas, the balance between thorough excision and ovarian reserve preservation matters. We use precise dissection, minimal energy use on the cortex, and consider AMH before and after surgery.
Ovarian cystectomy
| Aspect | Detail |
|---|---|
| What it does | Removes the cyst, preserves the ovary |
| Ovarian reserve | Careful, reserve-sparing technique |
| Best for | Symptomatic, large or suspicious cysts |
Frequently asked
Dr Patel performs advanced minimal-access (laparoscopic and hysteroscopic) surgery at Balaji Horizon with a precision, organ- and fertility-sparing philosophy — operating when it is clearly indicated, and offering conservative options when it is not.
Minimal-access, organ-sparing surgery and evidence-based gynaecology — with a clear, honest plan built around your priorities.
Protecting your ovarian reserve β our first priority
Ovarian cystectomy removes a cyst while keeping the ovary itself. How the surgery is done matters as much as whether it is done, because the ovary holds your egg reserve.
Why technique matters
Removing a cyst β especially an endometrioma β can reduce the number of eggs the ovary holds, mainly when heat (cautery) is used to stop bleeding. We minimise this by stripping the cyst wall gently and controlling bleeding with fine sutures rather than extensive cautery wherever possible. For women planning pregnancy, this ovarian-reserve-first approach is central.
When surgery is and is not needed
Many simple cysts resolve on their own and can be watched safely with ultrasound rather than operated on. We recommend surgery for cysts that are large, persistent, causing symptoms, or where the appearance needs a definitive diagnosis β not for every cyst found on a scan.
Possible risks & alternatives
Risks include bleeding, the small chance that a cyst recurs, and, with repeated surgery, cumulative loss of ovarian tissue β which is why we avoid unnecessary repeat operations. Aspiration (draining a cyst) has a limited role because recurrence is high. For an endometrioma in a woman planning IVF, we weigh surgery against proceeding directly to treatment, individually.
Dr. Priyadatt Patel
Senior Gynecologist Β· Advanced Laparoscopic Surgeon Β· IVF and Endometriosis Programme Lead
MS OBGyn Β· Pregnancy Care Β· Advanced Gynaecological Ultrasound Β· Fertility Preservation
ESHRE / ESGE / AAGL / ASRM guideline-aligned practice. 3D Karl Storz precision technique. Fertility-preservation-first philosophy. Evidence-based decisions, honest counselling, long-term outcomes orientation.
Science City Road, Ahmedabad 380060
MonβSat 11:00β20:00 Β· +91 97234 31544
Naranpura, Ahmedabad
MonβSat 08:30β10:30 Β· +91 70460 02566
