Current knowledge of risks and benefits of prophylactic oophorectomy at hysterectomy for benign disease in United Kingdom and Republic of Ireland

Das, Nagindra; Kay, Vanessa; Mahmood, Tahir

doi:10.1016/s0301-2115(02)00486-4

Cited by 18 publications

(9 citation statements)

References 29 publications

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“…11 These controversies cause different surgical approaches between clinicians on same the patient, and a study has shown that there is a large variation and uncertainty in the practice of prophylactic oophorectomy in the UK and Ireland. 12 Premature menopause and bilateral oophorectomy in young women are associated with an increased incidence of CVD, myocardial infarction, and overall mortality. Observational studies suggest an interval of 5 to 10 years between loss of ovarian function and the increased risk of CVD.…”

Section: Discussionmentioning

confidence: 99%

Comparison of the effects of surgical and natural menopause on carotid intima media thickness, osteoporosis, and homocysteine levels

et al. 2011

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Section: Discussionmentioning

confidence: 99%

Comparison of the effects of surgical and natural menopause on carotid intima media thickness, osteoporosis, and homocysteine levels

et al. 2011

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“…Several survey studies of gynecologists have found patient age to be a primary influence in the decision of whether or not to recommend BSO. 23–25, 29, 30 Recent guidelines from the American College of Obstetricians and Gynecologists (ACOG) confirmed this approach to BSO by stating premenopausal status should favor ovarian preservation and postmenopausal status should favor BSO. 31 However, we found BSO is still a common procedure in premenopausal women, accompanying hysterectomy for benign conditions in 40% of women age 40–44 years and 63% of women age 45–49 years.…”

Section: Discussionmentioning

confidence: 99%

Factors Associated With Undergoing Bilateral Salpingo-oophorectomy at the Time of Hysterectomy for Benign Conditions

Jacoby¹,

Vittinghoff

Nakagawa³

et al. 2009

Obstetrics &Amp; Gynecology

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Objective To identify possible factors associated with undergoing bilateral salpingo-oophorectomy (BSO) at the time of hysterectomy among women with benign conditions. Methods This is a cross-sectional analysis using the 2005 Nationwide Inpatient Sample. Women 18 years or older who underwent hysterectomy with BSO or hysterectomy only for a noncancerous condition were included. We examined a broad range of factors associated with undergoing BSO in multivariable analyses. Results Fifty-two percent of 461,321 hysterectomies included BSO, with a mean age of 49 years compared to 43 years in the hysterectomy only group (p<.001). The odds of BSO were two times higher in the Midwest and South, and 1.67 times higher in the West as compared to the Northeast (p<.001). Women who were uninsured or had Medicaid were more likely to undergo BSO compared to those with private insurance (OR 1.86, 95%CI 1.14–3.04 for “no charge/charity”, OR 1.21, 95% CI 1.08–1.35 for Medicaid) While BSO was more common among White women than African-American, Latina, and Asian women (p<0.001), lower income was associated with BSO among African-American and White women only, not among Asian and Latina women (P=.007 for test for interaction). BSO was 8 times as likely with a laparoscopic hysterectomy and 12 times as likely with an abdominal hysterectomy compared to a vaginal approach (p<.001). Women who had endometriosis, pelvic infection, or an ovarian cyst were more likely to undergo BSO (p<.001) compared to women who did not have these diagnoses. Conclusion There is significant nationwide variation in the practice of BSO. Age, route of hysterectomy, and diagnosis at surgery affect BSO rates. Nonclinical factors such as race/ethnicity, insurance status, income, and geographic location are also associated with BSO practice.

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“…4 Lately, hysterectomy rates are also decreasing due to better availability of alternative methods. 5 But in spite of large number of potential alternatives to hysterectomy for benign diseases, hysterectomy rates have remained relatively stable because it is associated with higher rates of patient satisfaction than other methods. 6 The aim and objective of the study was to investigate the clinical benign indications of hysterectomy, choice of Finally, all operated specimens were subjected to histopathological examination.…”

Section: Introductionmentioning

confidence: 99%

Clinico–pathological study of hysterectomy in benign lesions: a study of 379 hysterectomies

Fatehpuriya

Verma

Sharma

2017

Int J Reprod Contracept Obstet Gynecol

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Background: Uterus is a very vital reproductive organ and is subjected to many benign and malignant diseases. Hysterectomy is one of the most frequently performed procedures all over the world. Aims and Objectives of the work was to study the clinical benign indications of hysterectomy specimens and to correlate the findings with the histopathological reports.Methods: A prospective and randomized study was performed in 379 cases of elective hysterectomies for benign lesions.Results: Abdominal hysterectomy was performed in 64.6% cases while vaginal hysterectomy accounted for 35.3% cases. The mean age for hysterectomy was 45 years with a range from 14 to 78 years. Patients mostly presented with menstrual irregularities (34.3%) followed by prolapse uterus (30%). The principle indication of elective hysterectomy was leiomyoma and was present in 197(51.9%) patients, followed by prolapse uterus in 134 (35.3%) and dysfunctional uterine bleeding (DUB) in 26 (6.8%) patients. Maximum numbers of cases of leiomyoma, uterine prolapse and DUB were found in age group of 41-50 yrs.Conclusions: The number of abdominal hysterectomy was more than vaginal hysterectomy. Most common presenting feature was menstrual related symptom followed by prolapsed. The main indication for elective hysterectomy was leiomyoma, prolapsed and DUB.

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Current knowledge of risks and benefits of prophylactic oophorectomy at hysterectomy for benign disease in United Kingdom and Republic of Ireland

Cited by 18 publications

References 29 publications

Comparison of the effects of surgical and natural menopause on carotid intima media thickness, osteoporosis, and homocysteine levels

Comparison of the effects of surgical and natural menopause on carotid intima media thickness, osteoporosis, and homocysteine levels

Factors Associated With Undergoing Bilateral Salpingo-oophorectomy at the Time of Hysterectomy for Benign Conditions

Clinico–pathological study of hysterectomy in benign lesions: a study of 379 hysterectomies

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