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Unread 05-10-2005, 05:16 PM
Complex Cyst

Hi everyone,
I have been reading past posts about cysts and had a question. Do complex cysts or hemmoraghic cysts resolve on their own or do they usually need surgical removal? I have one on my left ovary 4cmX2cmX2cm. I feel pressure and a dull pain down my left leg but no severe pain as described in previous posts. I am 9 weeks post-op and worried about being cut again.... any thoughts?
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Unread 05-10-2005, 08:52 PM
Complex Cyst

I had my LAVH 3 years ago. I had another surgery 11 months ago to remove my right ovary and adhesions; I started having problems with cysts about two years after my hysterectomy - my doctor had been watching the cysts for any changes. They had gotten larger and turned from simple, fluid-filled cysts to complex, solid-mass cysts. My surgery was done laparoscopically. The right ovary was adhered to the top of the vaginal cuff and covered with adhesions and cysts - it was removed. All the pathology came back benign. My left ovary had some fluid filled cysts that were drained and then the ovary was wrapped in mesh to protect it.

Some cysts go away on their own - some need to be removed. When I began to have problems last year my doctor and I decided to take the "watch and wait" approach for a few months. I had vaginal ultrasounds every 2 months to check the status of the ovary and cysts. The reason we decided to go ahead and remove the ovary was because the cysts changed from simple, fluid-filled cysts to complex, solid-mass and my pain was greatly increased. My doctor said when a cyst begins to change in size and appearance (complex & solid) it needs to be evaluated surgically.

Whether or not cysts need to be removed depends on the size of the cyst, its appearance, any symptoms you may be having related to the cyst. Sometimes just the cyst can be removed and the ovary can be saved.


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