Ovarian surgery (cyst, tumor)

Ovarian cysts are very common and most often benign. Many disappear spontaneously and require only simple monitoring. Surgery is offered when the cyst persists, grows, causes pain, shows particular features on imaging, or in the event of a complication such as torsion of the ovary. The procedure of choice is laparoscopy: through small incisions, the surgeon removes the cyst while preserving the healthy ovarian tissue (cystectomy), which is particularly important for young women or those wishing to become pregnant. In certain situations, notably after the menopause or in the case of a suspicious lesion, removal of the ovary may be preferable; this decision is always explained and discussed beforehand. The pre-operative work-up, combining ultrasound, sometimes MRI and blood tests, allows the lesion to be characterized as accurately as possible and the most appropriate procedure to be planned. If there is any doubt about the nature of the lesion, an analysis can be performed during the procedure so that the surgical approach can be adapted immediately. At Clinique Pasteur Tunis, ovarian surgery is performed by gynecologists experienced in laparoscopy, with constant care to preserve ovarian function and fertility. Recovery is generally straightforward, with a rapid return to normal life.