Ovarian Cyst in menopause
Recent years, women older than 50 years are paying much more attention to their health than it was 10-15 years ago. After all, happiness in life is hard to imagine if there are serious health problems.
Therefore, a large proportion of the patients are women with ovarian cyst in menopause.
Approaches to their treatment differ significantly from those used in young girls.
This is Explained by the greater oncological alertness and presence of a larger number of different comorbidities.
According to statistics, after 50 years, after the cessation of menstruation, registered the maximum number of cases of ovarian cancer. This fact makes us wary to refer to any education on the ovary. Therefore the indication for surgery is any cyst on the ovaries during menopause. This surgery has a preventive nature and allow the development of cancer.
This is a General rule. As with any rule, there are exceptions. What is this exception?
The problem is that with age some women accumulate a whole bunch of different comorbidities – cardiovascular, pulmonary, endocrine. All this significantly increases the operational risks. And in these situations before the doctor raises a difficult question, what is more dangerous is a cyst or the surgery to remove it.
Despite the fact that modern laparoscopic surgery seem to be quite safe and not traumatic, in the presence of serious comorbidities (especially cardiovascular and respiratory diseases) operational risks are multiplied.
Therefore, if after a thorough examination, the doctor decides that you have a low cancer risk of the cysts, and there are severe co-morbidities, surgery should not act hastily. Regular surveillance with ultrasound monitoring and a survey at the level of tumor markers, allows without any risk to do without surgery.
Sometimes the patient interested in: the times, you can watch the cyst of the ovary in women with significant comorbidities, why not watch it and have a relatively healthy? Why to do it?
At first glance, everything seems logical. But do not take into account the number of significant circumstances. First, not all women are equally disciplined and there are often situations when the patient for several years are not observed. And during that time a lot can change. And secondly, even with careful monitoring, sooner or later, the cyst may begin changes to push the doctor for surgery. But during that time you become even older and perhaps you can develop a new disease. And this increases the operational risks, compared to those that were originally.
Therefore, the monitoring of ovarian cysts in menopause and is the exception rather than the rule.
Today there are also many discussions about the extent of surgery. Some experts believe that in menopause, you must delete all — uterus, cervix, ovaries, fallopian tubes… This approach is justified by the same oncological alertness.
But, as I have said repeatedly, in such matters should be an individual approach. If the results of the survey we have a low cancer risk, it makes no sense to remove the uterus the neck. This increases the operation time, prolonging the period of recovery and rehabilitation, and increases the risks of complications. Therefore, in such cases it is sufficient to remove only the diseased appendages (with 2 sides).
But that is not the complications of the surgery. If after removal of the cyst and its research, we get cancer, we will still need a second operation to remove the gland and lymph nodes. As practice shows, the unjustified extension of the scope of the operation does not improve the results.
In short, the patient after 50 years require more careful attention and individual approach to operations.
Given the characteristics of the patients of Mature age, I picked up for you special surgery. Sparing approach to the problem of ovarian cysts in menopause has some differences from traditional laparoscopy.
To remove the tumor, we use a special configuration of tools and equipment, very effective particularly in the older age group. Even anesthesia is significantly different from what we use in young patients.
So, if you’re not young, then our results will be for you as it is impossible by the way. After all such operations, among other things:
- Reduces the risk of surgical complications, because we use disposable and qualitative tools
- Prevents exacerbation of chronic diseases and the emergence of new, because the operation is less traumatic
- Is the prevention of cancer, because we remove all potentially dangerous pockets
- Promotes quick healing and recovery, because we use modern and safe anesthesia
- Easy to carry, because we do not remove healthy tissue