Fertility after oophorectomy due to torsion

Abstract

Objectives:To investigate the prevalence of infertility in patients who underwent salpingo-oophorectomy due to adnexal torsion (AT).Methods:All adult women admitted to the Teaching Institution of the University of Dammam, Dammam, Saudi Arabia who underwent surgery due to AT between January 2001 and 2010 were included. Complete data was collected from the time of admission to the follow up. The data was entered into the database and analyzed.Results:The data of 26 patients was available for analysis. The mean age (±standard deviation) at presentation was 22.19±4.4 years, and average age at follow up was 34.81±5.75 years. The average delay in presentation was 37.76±47 hours, and the surgery was performed at 45.07±48.57 hours. The right side was involved in 13 (53.8%) of the cases. Fourteen (53.9%) women presented with infertility. Eleven (78.57%) were treated for infertility, and 5 (45.5%) conceived. Patients who were younger at the time of torsion fared better with regard to pregnancy (p<0.03, 95% confidence interval:-6.85; <0.58).Conclusion:Patients who undergo salpingo-oophorectomy for AT have an increased risk of infertility and should be warned of this impending complication.

Recognition and initial management of ovarian torsion

“…However, there has been limited research into quantifying this risk in unilaterally ovariectomised women compared with women with two healthy ovaries, and the current evidence is limited to case series only. In one review of 26 patients in Saudi Arabia who underwent a unilateral salpingo-oophorectomy for adnexal torsion, 14 (54%) patients developed infertility and five (19%) patients conceived after assisted reproduction 33…”

The Utility of Platelets Indices and Other Blood Parameters in Gynecological Diseases

“…Adnexal torsion (AT) refers to a Gynecological emergency with fatal complications like pelvic thrombophlebitis and peritonitis. AT involves twisting the ovary or fallopian tube around its vascular axis, leading to the interruption of blood flow and thereby ischemic changes [18,19]. Ultrasound and Doppler findings can be of value in managing AT; still, they are not conclusive, the proportion of patients diagnosed before surgery ranges between 1/5 and 3/5 of cases [20][21][22].…”