What is this disease?

• Ovarian cysts are fluid-filled sacs that develop in ovaries. They can affect infants, young girls and adolescents. These cysts can appear in one or both ovaries, individually or in clusters.

How it is diagnosed?

• In most of the Neonates ,except a few cases, it is picked up in antenatal  USG scans. In older children, it is diagnosed by USG . Sometimes, CECT or MRI  is needed.

How it is treated?

• Options include Watchful waiting to surgical removal of cyst while leaving the rest of the ovary in place.

When it should be operated?

• Cyst more than 5 cm in size or having persistent symptoms needs surgery. Sometimes children present with severe pain and vomiting, suggestive of torsion of cyst and needs urgent surgery. If there is doubt about cancer, it also becomes an indication of surgery.

Are there other alternative methods of treatment?

• Watchful waiting is recommended in small cyst with little chances of complications. Hormonal treatment may be tried.

What all I need to know before my child surgery?

• Read “All you need to know before your child's surgery” information booklet in website.

How is the surgery done?

• The surgery can be done by either open or Minimally invasive means. Both involves removing the cyst and preserving the ovary. If testes is non viable because of torsion or if doubt of cancer is there, complete removal of ovaries may be needed.

Remarks

• For more details of surgery, contact your surgeon

Related Photographs and videos

• Few photographs of steps done by me and video is given here for learning purposes