V13-12 ADNEXAL MANAGEMENT AT THE TIME OF ELECTIVE PELVIC SURGERY IN WOMEN

Abstract

You have accessJournal of UrologyFemale Pelvic Surgery (V13)1 Apr 2020V13-12 ADNEXAL MANAGEMENT AT THE TIME OF ELECTIVE PELVIC SURGERY IN WOMEN Adam Miller*, David Yang, and Brian Linder Adam Miller*Adam Miller* More articles by this author , David YangDavid Yang More articles by this author , and Brian LinderBrian Linder More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000000970.012AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Ovarian cancer has the highest mortality rate of all gynecologic cancers and is the fifth leading cause of cancer mortality in women with a lifetime risk of 1.4%. Despite advances in medicine, there has only been marginal improvement in survival over the past 50 years, mainly due to limited screening. It is known that many ovarian cancers are derived from the fallopian tube and not directly from the ovary. As such, opportunistic salpingectomy with or without oophorectomy has been proposed as a way to decrease ovarian cancer risk in patients undergoing routine pelvic surgery for other indications. The objective of our video is to discuss the role, feasibility, and surgical technique of opportunistic salpingectomy with or without oophorectomy for ovarian cancer risk reduction at the time of open, laparoscopic, or robotic pelvic surgery for another indication. METHODS: We present opportunistic salpingectomy and salpingo-oophorectomy in three patients. The first two cases highlight examples of this technique performed during robotic pelvic surgery and the third case is an example performed during open pelvic surgery. RESULTS: In our video, salpingectomy and salpingo-oophorectomy are performed with minimal added operative time or blood loss. No complications occurred due to the additional procedure. CONCLUSIONS: Salpingectomy and salpingo-oophorectomy for ovarian cancer risk reduction is a safe, feasible option for patients undergoing pelvic surgery. Surgeons familiar with operating in this location should consider opportunistic salpingectomy or salpingo-oophorectomy in females who are no longer interested in fertility preservation and who are undergoing routine pelvic surgery for another indication. Source of Funding: N/A © 2020 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 203Issue Supplement 4April 2020Page: e1214-e1214 Advertisement Copyright & Permissions© 2020 by American Urological Association Education and Research, Inc.MetricsAuthor Information Adam Miller* More articles by this author David Yang More articles by this author Brian Linder More articles by this author Expand All Advertisement PDF downloadLoading ...