Effect of opportunistic salpingectomy on ovarian reserve in patients undergoing hysterectomy for benign indications

Epithelial ovarian cancer is the gynecologic cancer with the highest mortality in the western world. Distal part of tuba uterine is accused of being the origin of this cancer type. Thus, prophylactic salpingectomy has been suggested by several societies however this procedure can also cause early ovarian ageing. We aimed to elucidate the effect of salpingectomy additional to hysterectomy on ovarian reserve appraising ultrasonographic scanning and AMH. Prospective, randomized analytical study is achieved comparing patients who have underwent solely hysterectomy (N:29) and underwent hysterectomy and prophylactic salpingectomy (N:34). Comparison of AMH values between groups did not differ statistically significant whereas pre-operative and post-operative values of AMH were significantly decreased in both groups. Comparison of ovarian volume and AFC did not differ statistically significant. Ovarian blood flow doppler ultrasonography parameters were (PSV, PI) generally (10/12 parameters) did not differ significantly between groups. Prophylactic salpingectomy during hysterectomy did not cause additional ovarian reserve impairment without any operative and postoperative complications. Patients scheduled hysterectomy for benign reasons, could be informed about retained fallopian tubes and the benefit and harm of prophylactic salpingectomy precisely.

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