title: Predictors of successful salpingo-oophorectomy at the time of vaginal hysterectomy.
abstract: OBJECTIVE
  To determine prognostic factors related to successful salpingo-oophorectomy in menopausal women at the time of vaginal hysterectomy.
  
  
  METHODS
  Retrospective cohort study (Canadian Task Force Classification II-2).
  
  
  METHODS
  Tertiary care center.
  
  
  METHODS
  A total of 309 postmenopausal ≥60 years old with pelvic floor disorders.
  
  
  METHODS
  Vaginal hysterectomy with attempted prophylactic salpingo-oophorectomy.
  
  
  METHODS
  Factors associated with ability to achieve vaginal salpingo-oophorectomy.
  
  
  RESULTS
  203 (65.7%) achieved successful removal of 1 or both ovaries, and 106 (34.3%) were not amenable to removal. Younger age and shorter cervical length were predictors of salpingo-oophorectomy. Cervical elongation of ≥7 cm, exteriorized cervical/uterine prolapse, and anterior vaginal wall prolapse beyond the hymen were associated with lower likelihood of achieving salpingo-oophorectomy.
  
  
  CONCLUSIONS
  Patient age and cervical length are independent factors that influence the success of accomplishing salpingo-oophorectomy at the time of vaginal hysterectomy.
authors: Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Gynecology and Obstetrics, Emory University School of Medicine, Atlanta, Georgia, USA.
authors: Deborah R
authors: DR
authors: Karp
authors: Marium
authors: M
authors: Mukati
authors: Aimee L
authors: AL
authors: Smith
authors: Gabriel
authors: G
authors: Suciu
authors: Vivian C
authors: VC
authors: Aguilar
authors: G Willy
authors: GW
authors: Davila
mesh_terms: D000367:Age Factors; D000368:Aged; D054791:Cervical Length Measurement; D005260:Female; D006801:Humans; D007045:Hysterectomy, Vaginal; D008875:Middle Aged; D010052:Ovariectomy; D011237:Predictive Value of Tests; D012189:Retrospective Studies; D058994:Salpingectomy; D014591:Uterine Diseases / Q000601:surgery*; D014596:Uterine Prolapse / Q000601:surgery