Uterine cyst removal is often optional, but it can be recommended for various reasons. If the cyst is cancerous, overgrown, or causing pain, for example, it may be best to remove the growth. Removing a uterine cyst might require an abdominal incision or it might not, depending on the location of the cyst and its causes.
Many of the cysts found within the uterus are benign, and this is one of the most common gynecological issues. Cysts, which are made of fibrous tissue, vary in size and grow slowly. Most people remain unaware that they have them because they have no symptoms, but about 25% of the cysts found in women do cause symptoms and will require removal.
Women may have the option of choosing from several kinds of uterine cyst removal procedures. A hysteroscopic myomectomy involves removing the cyst with a tool called a resectoscope. It contains a wire that uses electrical energy to cut through tissue. The instrument passes through the cervix, so it is not necessary to make an incision. Patients are under general anesthesia during the process in an outpatient surgery center.
Other forms of treatment include the use of hormone therapy, which causes the fibroid to shrink in size. This type of procedure is seen as temporary or as a transition therapy. It has proved to be effective in reducing the size of uterine cysts that cause bleeding and negatively impact fertility. Using hormones can include lower estrogen levels, although rarely enough to cause problems.
For people with multiple fibroids, there is a uterine cyst removal procedure that will leave the uterus in place. An abdominal myomectomy requires a full abdominal incision, which means that there is an increased risk for infection. After the operation is complete, women will be required to stay at the hospital afterward for monitoring. It might take as long as four weeks to completely heal from the process.
Those who have benign growths can choose not to have them removed. Some might wait to see whether new symptoms develop and continue to visit a medical professional to monitor the progression.