A cyst is a fluid filled cavity. Cysts can often be found in the ovaries. Ovarian cysts are usually diagnosed by pelvic exam or ultrasound. If the cyst is entirely filled with fluid it is called a "simple cyst". Ovarian follicles as they undergo maturation may appear on ultrasound as simple cysts or occasionally as complex cysts. These cysts usually resolve within one to two months. Simple cysts are almost always benign. Removal is indicated if they are bigger than 5-6 cm in diameter or if they cause symptoms. If the cyst contains echogenic structures (shadows by ultrasound) it is categorized as a "complex cyst". Complex cysts can represent endometriosis, infection, benign tumors, and rarely malignancies. It is generally recommended that complex cysts be evaluated laparoscopically and possibly removed. The majority of ovarian cysts can be removed laparoscopically.
If I would like my uterus removed laparoscopically is this always an option?
In most cases the uterus can be safely removed laparoscopically. This is not an option when the uterus is very large (greater then 18 week pregnancy in size). Recovery after laparoscopic hysterectomy is usually quicker than after abdominal hysterectomy. To help you choose the most suitable and safe surgery the doctor will consider all these factors prior to proceeding with a laparoscopic hysterectomy..
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