What is a Chocolate Cyst?

Chocolate cysts (endometrioma) are cysts that form in the ovaries due to endometriosis and contain dark brown, chocolate-colored fluid. These cysts can damage the pelvic organs as they grow.

What Causes a Chocolate Cyst?

Due to endometriosis, tissue in the lining of the uterus migrates outside the uterus and bleeds. When the body has difficulty expelling this bleeding, cyst formation occurs.

What are the Symptoms of Chocolate Cyst?

• Severe painful menstruation (not even relieved by painkillers)
• Abdominal, groin, low back pain
• Painful sexual intercourse
• Pain when urinating or defecating
• Abnormal intermediate bleeding
• Infertility
• Although some cysts do not cause symptoms, if you have the above complaints symptoms of chocolate cyst should always be evaluated in terms of its impact.

• How is Robotic Chocolate Cyst Surgery Performed?
• Under general anesthesia, 0.5-1 cm surgical incisions are made in the abdomen.
• Robotic arms and a camera are placed.
• Using a robotic control system accompanied by a 3D image, the surgeon removes the chocolate cyst without damaging the surrounding tissues.
• Thanks to the incisions closed with aesthetic sutures, the patient can return to normal life in a short time.

• Advantages of Robotic Surgery
• Minimally invasive: Much smaller incisions compared to open surgery
• Low risk of bleedingless chance of infection
• Precision surgery possibleneighboring tissues are protected
• Faster recoverypostoperative pain is minimal
• High resolution three-dimensional image thanks to the great advantage for the surgeon

How long is the surgery?

• In simple endometrioma cases, the average 1 hour
• In cases of deep pelvic endometriosis 2-3 hours may take

Surgical Considerations

• Cystine complete removalno residue around the ovary
• Gentle separation techniquespreservation of intact ovarian tissue
• If there is deep endometriosis, the related tissues are also removed
• If there is a risk of cancer onco-gynecological principles surgery should be performed without bursting the cyst, if necessary frozen section must be implemented

What Does CA 125 Value Mean?

CA 125 levels are elevated in patients with endometrioma. Especially in the case of bilateral cysts or "kissing ovaries" values in thousands can be seen. However, this does not necessarily mean cancer; examination and pathology are required for definitive diagnosis.