Oophorectomy
Surgical removal of one or both ovaries — performed for ovarian cysts, torsion, suspicious masses, cancer risk reduction, or as part of treatment for hormone-driven gynaecological conditions.
What is Oophorectomy?
Oophorectomy is the surgical removal of one ovary (unilateral) or both ovaries (bilateral). It is indicated when an ovarian cyst has destroyed normal ovarian tissue, when malignancy cannot be excluded, or in cases of ovarian torsion with a non-viable ovary. Bilateral oophorectomy may be performed to reduce cancer risk in BRCA carriers or as part of treatment for hormone-sensitive conditions. Dr. Ashwani Narla performs oophorectomy laparoscopically where possible at Lux Hospitals, Hyderabad, preserving the contralateral ovary whenever clinically safe.
Suitable for women with ovarian pathology — including non-viable torsion, unresectable cysts, suspicious masses, or high cancer-risk conditions — where ovarian removal is the safest or most appropriate clinical option.
How the Procedure Works
Anaesthesia & Port Placement
General anaesthesia is administered and laparoscopic ports are placed. Both ovaries are assessed and the affected ovary is identified and prepared for removal.
Vascular Ligation
The infundibulopelvic ligament containing the ovarian vessels is carefully ligated and divided, securing haemostasis before the ovary is fully mobilised.
Ovarian Removal
The ovary is completely mobilised from surrounding structures, placed in an endobag, and removed intact through a port site to prevent intraperitoneal spillage.
Specimen Processing
The specimen is sent for histopathology. Frozen section may be requested intraoperatively if malignancy is suspected to guide further surgical decision-making.
Closure & Recovery
Port sites are closed; patients are typically discharged within one to two days. Hormonal implications of bilateral oophorectomy are discussed pre-operatively.
Outcomes
Who Needs This Treatment?
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Definitively removes the affected ovary when preservation is not clinically possible
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Eliminates the source of malignant or pre-malignant ovarian pathology
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Laparoscopic approach minimises recovery time and surgical morbidity
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Intraoperative frozen section guides the extent of surgery in uncertain cases
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Reduces cancer risk significantly in BRCA mutation carriers when bilateral
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Contralateral ovary is preserved whenever safe, maintaining hormonal function
The decision to remove an ovary is never taken lightly. Our commitment is always to preserve what is healthy — and to act decisively when preservation would compromise safety.
— — Dr. Ashwani Narla, Consultant Obstetrician, Gynaecologist & Laparoscopic Surgeon
Oophorectomy Cost in Hyderabad
The cost of oophorectomy in Hyderabad depends on the underlying ovarian condition, the condition of the ovary, surgical complexity, pre-operative investigations, anesthesia, and hospital and recovery requirements. Oophorectomy is a surgical procedure to remove an ovary when it cannot be safely preserved or when removal is clinically indicated. It may be required in selected cases of ovarian cysts when the affected ovary is not salvageable and in ovarian torsion when the ovary has become non-viable or necrotic. The estimated cost ranges from ₹1,10,000 to ₹2,20,000, with an average cost of approximately ₹1,65,000.
| Procedure | Approximate Cost Range |
|---|---|
| Ovary not salvageable | ₹1,10,000 ₹2,20,000 |
| Non-viable, necrotic ovary | ₹1,10,000 ₹2,20,000 |
The actual cost may vary depending on the patient's condition and the reason for ovarian removal. In cases of ovarian torsion, the decision to remove the ovary is generally based on whether the tissue is viable after appropriate assessment and whether preservation is possible. When an ovary is severely damaged, non-viable, or necrotic, removal may be required.
For ovarian cysts, the need for oophorectomy depends on factors such as the condition of the ovarian tissue, the nature of the cyst, and whether the ovary can be safely preserved. The overall treatment expense may also include diagnostic imaging, laboratory tests, anesthesia, operating-room charges, emergency care where applicable, hospital admission, medicines, pathology examination, and follow-up.
Factors Affecting Oophorectomy Cost
The cost of oophorectomy can vary between patients because the condition of the ovary and the circumstances leading to surgery may be very different. Emergency surgery for ovarian torsion may involve a different level of evaluation and hospital care compared with a planned procedure for an ovarian cyst.
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Underlying ovarian condition: The cause of ovarian damage, such as a cyst or torsion, influences the treatment plan and complexity.
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Ovarian viability: In torsion cases, the condition of the ovary after assessment can determine whether preservation or removal is appropriate.
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Size and characteristics of an ovarian cyst: Large, complex, or difficult-to-separate cysts may require more extensive surgical management.
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Emergency versus planned surgery: Oophorectomy for ovarian torsion may require urgent evaluation and emergency operating-room and hospital services.
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Pre-operative investigations: Ultrasound, blood tests, imaging, and other assessments may be required before surgery.
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Surgical approach: Laparoscopic or open surgery may be considered depending on the patient's condition, findings, and clinical requirements.
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Previous surgery or adhesions: Prior abdominal or pelvic surgery may result in adhesions and can make ovarian surgery more complex.
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Previous surgery or adhesions: Prior abdominal or pelvic surgery may result in adhesions and can make ovarian surgery more complex.
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Histopathology: The removed ovary or cyst tissue may be sent for laboratory examination, and pathology charges may form part of the total expense.
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Additional procedures: Treatment of associated pelvic conditions or other procedures performed during the same surgery may increase the overall cost.
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Post-operative care: Medicines, follow-up consultations, monitoring, and recovery-related treatment can also affect the final expense.
Insurance Coverage for Oophorectomy
Oophorectomy may be covered by health insurance when it is performed as medically necessary treatment for a covered ovarian condition. Coverage may apply differently depending on whether surgery is required for an ovarian cyst, ovarian torsion, or another medical indication. Emergency procedures may have specific hospitalization and pre-authorization provisions depending on the insurer and policy. Coverage also depends on waiting periods, exclusions, policy limits, insurer guidelines, and cashless eligibility. Patients should confirm the applicable benefits with their insurance provider before planned admission whenever circumstances allow.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Ashwani Narla
Consultant Obstetrician, Gynaecologist & Laparoscopic Surgeon
Dr. Ashwani Narla, Consultant Obstetrician, Gynecologist & Laparoscopic Surgeon at Lux Hospitals, Hyderabad, evaluates patients with ovarian cysts, ovarian torsion, and other gynecological conditions. During consultation, she reviews symptoms, medical and surgical history, examination findings, and relevant ultrasound, imaging, and laboratory reports. For an ovarian cyst, she assesses the size, appearance, location, and condition of the ovary to determine whether cyst removal with ovarian preservation is feasible or whether removal of the ovary may be necessary. In suspected ovarian torsion, the assessment focuses on the urgency of treatment and the condition of the affected ovary. When the ovary is viable, preservation may be considered; when tissue is irreversibly damaged or necrotic, oophorectomy may be required. The consultation or emergency evaluation may include discussion of the surgical approach, expected hospital stay and recovery, possible additional procedures, pathology examination, implications of removing one ovary where relevant, and the estimated treatment cost.
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