WOMENS-HEALTH Messages for November, 2000: Re: Cystectomy and possible oophorectomy?

Re: Cystectomy and possible oophorectomy?

From: Kelly Shanahan, MD (anonymous@obgyn.net)
Sat, 11 Nov 2000 01:10:36 -0600 (CST)

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At Fri, 10 Nov 2000, anonymous wrote: >
>I need help or at least an opinion fast!!! I just went to see my gyn
>today for a followup on a ovarian cyst I had 8 weeks ago on U/S. Now 8
>weeks ago the cyst was 3.5 cm. So today I went for a follow up to see
>if it went away. I have been on BCP for a month now also to try and
>shrink the cyst. And the cyst was still there on my left ovary and it
>measured 4.6cm. Well my doc wants me to undergo abdominal surgery to do
>a cystectomy and remove the cyst. He says he must remove it because it
>is not going away and it is comples with a solid mass inside. What does
>that mean? Are these types of cysts life-threatening or anything?

If hte cyst is merely fluid fiulled, it can be followed, but if it is complex -- partly solid and partly cystic, it should be evaluated. YOur age is important in determining how long it is followed conservatively, without surgery. If you are young, it is more likely to be a benign condition than if you are menopausal

He >also says I may lose my left ovary. I am so scared now I don't know
>what to do. Can I not have the surgery? Will this cyst effect me
>adversely in any way if left alone? I really don't want to go through
>surgery again. I just had an abdominal hyst due to uterine rupture
>during birth 10 months ago. So the prospect of undergoing the knife and
>being in pain again for another 4 weeks or so is not exactly enticing.
>He does say the surgery will be just like my second c-section in terms
>of pain and recovery, but I don't want to have to do that if I don't
>have to. So can I leave this cyst alone? Will it effect my health in
>anyway if left alone? And what type of cyst has a solid mass inside?
>Thanks for any help. My doc has scheduled surgery for this next
>Saturday. I don't know what to do. Please help I am so scared!!!

I suggest you get a second opinion. Your surgery may also be able to be done through the laparoscope, rahter than through a big incision, which markeldy decreases pain and recovery time

--
M. Kelly Shanahan, MD, FACOG
South Lake Tahoe, CA

This information is for educational purposes only and does not construe a doctor-patient relationship. It does not replace the need for you to consult your own doctor.

***private e-mails will be deleted without reading. Please respect my family time

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