Is it necessary to perform a prophylactic oophorectomy during hysterectomy?

European Journal of Obstetrics, Gynecology, and Reproductive Biology
Y ZalelR Tepper

Abstract

To evaluate the subsequent pelvic sonographic characteristics as well as the clinical outcome following hysterectomy with and without oophorectomy. A prospective study of sonographic evaluation of 164 women, aged 29-72 years, with a history of hysterectomy was performed. Ninety-one patients underwent total abdominal hysterectomy with bilateral salpingo-oophorectomy and 73 women had either hysterectomy (abdominal or vaginal) only or hysterectomy with unilateral salpingo-oophorectomy. The mean time interval between surgery and sonographic evaluation was 4.3 years (range, 1-25 years). Out of the 73 women with left ovaries, 37 (50.7%) were found to have pelvic lesions and four women underwent re-operations following these findings. The histologic finding were cystadenoma, hydrosalpinx with periovarian adhesions and two paraovarian cysts. In comparison, only five of the 91 women (5.5%) following bilateral salpingo-oophorectomy were found to have pelvic lesions (P < 0.0005). None of the women with prophylactic oophorectomy were operated upon following these findings. In comparison to patients after total hysterectomy and bilateral salpingo-oophorectomy, women with prior hysterectomy and ovarian preservation are prone to subsequent pe...Continue Reading

References

Nov 1, 1994·British Journal of Obstetrics and Gynaecology·T C Li, H Saravelos
Nov 1, 2002·European Journal of Cancer : Official Journal for European Organization for Research and Treatment of Cancer (EORTC) [and] European Association for Cancer Research (EACR)·T R Rebbeck
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Citations

Jun 24, 2003·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Nagindra DasTahir A Mahmood
Jun 30, 2005·Best Practice & Research. Clinical Obstetrics & Gynaecology·Michael S Baggish
Feb 7, 2006·American Journal of Obstetrics and Gynecology·Aubert AgostiniBernard Blanc
Aug 16, 2016·Obstetrics and Gynecology Clinics of North America·Catherine A Matthews
Jun 28, 2007·The Journal of International Medical Research·V AtayM Muhcu
Jan 22, 2005·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Eliana Aguiar Petri NahásPaulo Traiman
Aug 8, 2014·The Cochrane Database of Systematic Reviews·Leonardo J OrozcoArturo Salazar

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