Hysterectomy with Bilateral Salpingo-Oophorectomy in Reproductive Age: A retrospective large comparative study

Document Type : Original Article

Authors

1 Assistant Professor of Gynecology and Obstetrics, Faculty of Medicine, Zagazig University

2 Lecturer of Gynecology and Obstetrics, Faculty of Medicine, Zagazig University

3 Lecturer of General Surgery, Faculty of Medicine, Zagazig University

4 Lecturer of Anesthesia and Intensive care, Faculty of Medicine, Zagazig University

5 Pathology Department, Faculty of Medicine, Zagazig University

6 Obstetrics and Gynecology Department, Faculty of Medicine, Zagazig University, Egypt

Abstract

background: Hysterectomy and BSO in premenopausal women causing premature menopause. By contrast it was found that removal of both ovaries could markedly decrease risk of cancer breast and ovarian cancer risks completely.
Aim of the current study was to assess the indications of total hysterectomy TH with or without bilateral salpingo-oophorectomy (BSO) in pre-menaupausal women with benign gynecological conditions and histopathological findings in resected specimens. Additionally we tried to assess the survival and life style benefits of performing oophorectomy or preserving one or both ovaries.
Patients and methods: we assessed all patients underwent TH with or without BSO in for management of benign gynecological conditions. We divided patients in to 2 groups the first group included patients who underwent TH and BSO the second group included patients underwent TH with conservation of both ovaries. We compared between both groups of patients regarding long term health and survival outcomes.
Results: Women who underwent BSO were significantly older at surgery compared with women who underwent hysterectomy without oophorectomy (p < 0.001). There is a significant agreement between the clinical role and histopathology in detecting ovarian cysts (p

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Zagazig University Medical Journal
Volume 30, Issue 1.2
January and February 2024
Pages 207-214

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