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Updated: Jun 3, 2026
Surgical Techniques to Optimize Ovarian Reserve during Laparoscopic Cystectomy for Ovarian Endometrioma
Published on: January 22, 2022
Clinical Outcomes and Predictive Factors for Surgical Intervention in Fetal Ovarian Cysts: A Single-Center
Şükran Doğru1, Muhammed Burhan Tekin2, Fikriye Karanfil Yaman3
1Konya City Hospital, Perinatology, Turkey, Konya.
Purpose:
This study aims to evaluate the clinical outcomes of prenatally diagnosed fetal ovarian cysts, identify predictive factors for surgical intervention, and provide evidence to guide postnatal management strategies.
Methods:
This retrospective study included 15 cases of fetal ovarian cysts diagnosed between January 2022 and February 2025 at a tertiary referral center. Sonographic features, cyst size, laterality, and complexity were recorded. Cysts were classified as simple or complex based on ultrasonographic characteristics. Postnatal follow-up data and surgical interventions were analyzed.
Results:
Of the 15 cases, 53.3% required surgical intervention, while 46.7% resolved spontaneously. The mean gestational age at diagnosis was 34 weeks, and the mean cyst size was 44 mm. Simple cysts accounted for 80% of cases. Cyst size≥40 mm was significantly associated with increased likelihood of surgery (p=0.025). ROC analysis identified 39 mm as the optimal cut-off for predicting surgical need (AUC: 0.875, sensitivity: 87.5%, specificity: 71.4%, p=0.015). Torsion occurred in 13.3% of cases.
Conclusion:
A larger prenatal cyst diameter was associated with an increased likelihood of postnatal surgical intervention. The ROC-derived threshold of approximately 39 mm corresponds closely to our institutional management criteria and may serve as a practical reference point rather than a definitive universal cut-off.
