ArticlePediatric surgery international2025
Management of neonatal ovarian cysts: a 10-year single-center experience.
Article in Pediatric surgery international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Transumbilical Laparoscopic-Assisted (TULA) Surgery for Treating Abdominal Pathologies in Newborns: A Retrospective Single-Center Experience.Children (Basel, Switzerland) · 2026Article
- Fetal Ovarian Cysts in Prenatal Imaging: Diagnostic Challenges and Management Options.Journal of medical cases · 2025Article
- Clinical characteristics and timing of intervention in 195 neonatal simple ovarian cysts: a 20-year single-center retrospective analysis.Pediatric surgery international · 2025Article
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5 authors.
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Abstract
introductionPostnatal management of ovarian cysts in neonates is debated.
methodsA retrospective analysis of neonates diagnosed with ovarian mass at a tertiary referral center (Jan 2014-May 2024).
results64 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).
conclusionsObservation 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.
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