Ovarian Torsion Treatment in Pune

Ovarian torsion is a serious gynecological emergency that requires immediate medical attention. It occurs when an ovary twists around the ligaments supporting it, restricting or cutting off its blood supply. Without timely treatment, the affected ovary may suffer permanent damage, potentially impacting fertility and overall reproductive health.

If you experience sudden, severe lower abdominal pain, nausea, or vomiting, seeking emergency medical care is essential. Dr. Balaji Nalwad Reddy, an experienced gynecologist, laparoscopic, hysteroscopic, and robotic surgeon in Pune, specializes in advanced minimally invasive gynecological procedures. With extensive expertise in fertility-preserving surgery and complex laparoscopic techniques, he provides prompt diagnosis and personalized treatment for women with ovarian torsion.

What is Ovarian Torsion?

Ovarian torsion, also known as adnexal torsion, occurs when the ovary twists around the ligaments that support it. This twisting reduces or completely blocks blood flow to the ovary and, in some cases, the fallopian tube.

It is considered a surgical emergency because prolonged interruption of blood supply can lead to tissue damage or loss of ovarian function. Early diagnosis and prompt surgery often allow the ovary to be preserved.

Who is at Risk for Ovarian Torsion?

Although ovarian torsion can occur at any age, it is more common in women of reproductive age.

You may have a higher risk if you have:

• Ovarian cysts or ovarian masses
• Benign ovarian tumors
• Enlarged ovaries
• Polycystic Ovary Syndrome (PCOS)
• Pregnancy, especially during the first trimester
• Fertility treatments that stimulate the ovaries
• Previous history of ovarian torsion
• Long ovarian ligaments (a less common anatomical variation)

Symptoms of Ovarian Torsion

Symptoms usually begin suddenly and may worsen rapidly.

Common symptoms include:

• Sudden, severe pain on one side of the lower abdomen
• Pelvic pain that may come and go
• Nausea and vomiting
• Lower abdominal tenderness
• Fever (less common and may indicate complications)
• Abdominal bloating
• Pain during movement
• Occasionally, dizziness or fainting due to severe pain

Because these symptoms can resemble appendicitis, kidney stones, or ruptured ovarian cysts, prompt evaluation by an experienced gynecologist is essential.

Causes of Ovarian Torsion

Ovarian torsion usually develops when the ovary becomes enlarged or heavier than normal, making it more likely to twist.

Common causes include:

• Functional ovarian cysts
• Dermoid cysts
• Benign ovarian tumors
• Ovarian enlargement following fertility medications
• Pregnancy-related ovarian enlargement
• Endometriomas
• Previous pelvic surgery causing altered pelvic anatomy
• Congenital long ovarian ligaments

How is Ovarian Torsion Diagnosed?

Early diagnosis plays an important role in preserving ovarian function.

Your evaluation may include:

Medical History

Your doctor will ask about the onset, location, and severity of pain along with associated symptoms.

Physical Examination

A pelvic examination helps assess tenderness and identify possible pelvic masses.

Pelvic Ultrasound

Transvaginal ultrasound with Doppler blood flow assessment is commonly used to evaluate ovarian blood supply and detect enlarged ovaries or cysts.

Blood Tests

Blood investigations help rule out infection, pregnancy-related conditions, or other causes of abdominal pain.

Sometimes ovarian torsion can only be confirmed during laparoscopic surgery.

Ovarian Torsion Treatment in Pune

Ovarian torsion requires urgent surgical treatment. Delaying treatment increases the risk of permanent ovarian damage.

The primary goals of treatment are to:

• Restore blood supply
• Untwist the ovary
• Preserve ovarian function whenever possible
• Prevent complications
• Protect future fertility

Dr. Balaji Nalwad Reddy focuses on minimally invasive fertility-preserving surgical techniques whenever clinically appropriate.

Ovarian Torsion Surgery

Laparoscopic Surgery

Laparoscopy is considered the preferred treatment for most patients.

The procedure involves:

1. Administration of general anesthesia.
2. Small incisions in the abdomen.
3. Insertion of a laparoscope (camera) and specialized surgical instruments.
4. Careful untwisting of the affected ovary.
5. Assessment of ovarian viability.
6. Removal of any cyst causing the torsion, if required.
7. Preservation of healthy ovarian tissue whenever possible.

If the ovary has suffered irreversible damage, removal of the affected ovary may be necessary. However, surgeons always aim to preserve reproductive organs whenever it is medically safe.

Benefits of Laparoscopic Ovarian Torsion Surgery

Compared with traditional open surgery, laparoscopic surgery offers several advantages:

• Smaller incisions
• Less postoperative pain
• Minimal blood loss
• Reduced scarring
• Lower risk of wound complications
• Faster recovery
• Shorter hospital stay
• Earlier return to daily activities
• Better cosmetic outcomes
• Fertility-preserving approach whenever feasible

Preparing for Surgery

If emergency surgery is recommended, your healthcare team will provide instructions based on your condition.

Preparation may include:

• Blood investigations
• Pregnancy testing when appropriate
• Pelvic imaging
• Fasting before anesthesia
• Review of current medications
• Discussion about the procedure and informed consent

Recovery After Ovarian Torsion Surgery

Recovery varies depending on the severity of torsion and the type of surgery performed.

Most patients undergoing laparoscopic surgery can expect:

• Early mobilization after surgery
• Short hospital stay in many cases
• Gradual return to normal activities over the following weeks
• Follow-up visits to monitor healing
• Guidance regarding exercise and future pregnancy planning when appropriate

Your doctor will provide personalized recovery instructions based on your individual condition.

Risks and Possible Complications

Like any surgical procedure, ovarian torsion surgery carries certain risks, although serious complications are uncommon when managed by experienced surgeons.

Potential risks include:

• Bleeding
• Infection
• Injury to nearby organs
• Recurrence of torsion (rare)
• Adhesion formation
• Loss of ovarian function if treatment is delayed

Prompt medical attention significantly improves the likelihood of preserving the ovary.

Can Ovarian Torsion Affect Fertility?

Yes, ovarian torsion can affect fertility if blood supply is interrupted for a prolonged period. However, early diagnosis and timely laparoscopic surgery often allow the ovary to recover and continue functioning normally.

For women planning pregnancy or undergoing fertility treatment, preserving ovarian tissue is an important treatment goal whenever medically possible.

When Should You Consult a Doctor Immediately?

Seek emergency medical care if you experience:

• Sudden severe pelvic pain
• Pain accompanied by nausea or vomiting
• Severe lower abdominal pain during pregnancy
• Persistent pelvic pain that does not improve
• Fever with severe pelvic pain
• Fainting or dizziness associated with abdominal pain

Ovarian torsion is a medical emergency and should never be ignored.

Why Choose Dr. Balaji Nalwad Reddy for Ovarian Torsion Treatment in Pune?

Dr. Balaji Nalwad Reddy is an internationally trained consultant gynecologist specializing in advanced laparoscopic, hysteroscopic, robotic, and fertility-enhancing surgeries. He completed advanced training in minimally invasive gynecological surgery and has received international exposure in advanced endoscopic techniques.

Patients choose Dr. Balaji because of:

• Expertise in advanced laparoscopic gynecological surgery
• Special interest in fertility-preserving procedures
• Experience managing complex gynecological conditions
• Personalized treatment planning
• Focus on minimally invasive techniques for faster recovery
• Commitment to evidence-based, ethical patient care
• Comprehensive evaluation and long-term reproductive health support

Why Choose Our Clinic?

Our clinic provides patient-centered gynecological care with a focus on safety, compassion, and clinical excellence.

We offer:

• Comprehensive emergency gynecological assessment
• Advanced minimally invasive surgical care
• Personalized treatment plans
• Modern diagnostic facilities
• Fertility-focused surgical approach
• Detailed postoperative guidance and follow-up care
• Comfortable and supportive patient experience

Frequently Asked Questions

1. Is ovarian torsion an emergency?

Yes. Ovarian torsion is a surgical emergency because delayed treatment can permanently damage the ovary.

2. What causes ovarian torsion?

It is most commonly caused by ovarian cysts, enlarged ovaries, benign tumors, pregnancy, or fertility treatments that increase ovarian size.

3. Can ovarian torsion resolve without surgery?

No. Most cases require urgent surgery to restore blood flow and prevent permanent ovarian damage.

4. Is laparoscopic surgery safe?

Laparoscopic surgery is widely considered a safe and effective treatment for ovarian torsion when performed by an experienced surgeon.

5. Will I lose my ovary?

Not necessarily. If treated early, the ovary can often be preserved. Removal is considered only if the tissue is no longer viable.

6. Can ovarian torsion happen during pregnancy?

Yes. It is more likely during early pregnancy due to changes in ovarian size and position.

7. How long does recovery take?

Many patients recover more quickly after laparoscopic surgery, but recovery varies depending on individual health and the extent of the procedure.

8. Can ovarian torsion recur?

Recurrence is uncommon but possible. Your doctor will discuss preventive options if needed.

9. Does ovarian torsion affect future fertility?

Prompt treatment often preserves ovarian function and fertility. Delayed treatment may increase the risk of reduced ovarian function.

10. When should I seek emergency care?

Seek immediate medical attention if you develop sudden, severe pelvic pain, especially if it is accompanied by nausea, vomiting, or fever.

Consult Dr. Balaji Nalwad Reddy

Sudden pelvic pain should never be ignored. Early diagnosis and prompt treatment are essential to protect ovarian function and preserve fertility. If you or a loved one is experiencing symptoms suggestive of ovarian torsion, schedule an urgent consultation with Dr. Balaji Nalwad Reddy for expert evaluation and advanced Ovarian Torsion Treatment in Pune using minimally invasive, fertility-focused surgical techniques.