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Updated: May 17, 2025
Surgical Techniques to Optimize Ovarian Reserve during Laparoscopic Cystectomy for Ovarian Endometrioma
Published on: January 22, 2022
Management of neonatal ovarian cysts: a 10-year single-center experience
Olga Szymon1,2, Małgorzata Fryczek3, Agnieszka Kotlarz4
1Jagiellonian University Medical College, Kraków, Poland. olgalisowska07@gmail.com.
Introduction:
Postnatal management of ovarian cysts in neonates is debated.
Methods:
A retrospective analysis of neonates diagnosed with ovarian mass at a tertiary referral center (Jan 2014-May 2024).
Results:
64 neonates (1 day-8 months; mean: 8.2 weeks) were diagnosed with 65 ovarian masses ≥ 20 mm (mean: 44.2 mm; range: 20-81 mm). Prematurity was present in 31% (n = 20). Primary surgery was performed in 11 cases due to severe symptoms/uncertain mass origin; 3 underwent percutaneous puncture; 50 were observed. Of these, 37/50 (74%) had cyst regression within 18 months, including 7 complex cysts (19%). Delayed involution occurred in 6/50 (12%) observed. Both complex morphology and larger cyst size were significantly associated with delayed regression (p = 0.0005, p = 0.0045, respectively). 8/50 (16%) underwent intervention for cyst enlargement (2 laparoscopies, 5 punctures) or concern for interval torsion (1 laparotomy). No confirmed postnatal torsion or hemorrhagic complications occurred in the observation group. One patient required a repeat procedure after percutaneous reduction. No significant association was found between lesion size and the symptoms of recent adnexal torsion (p = 0.99).
Conclusions:
Observation is safe for asymptomatic ovarian cysts. Postnatal torsion is rare but can occur regardless of lesion size, including patients with no prior history of ovarian cysts.
