TY - JOUR
T1 - Bilateral or unilateral tubo-ovarian abscess
T2 - exploring its clinical significance
AU - Yagur, Yael
AU - Weitzner, Omer
AU - Shams, Rebecca
AU - Man-El, Gili
AU - Kadan, Yfat
AU - Daykan, Yair
AU - Klein, Zvi
AU - Schonman, Ron
N1 - Publisher Copyright:
© 2023, The Author(s).
PY - 2023/12
Y1 - 2023/12
N2 - Objectives: To assess the characteristics of patients with unilateral and bilateral tubo-ovarian abscess (TOA). Methods: Women diagnosed with TOA during 2003–2017 were included in this retrospective cohort study. TOA was diagnosed using sonography or computerized tomography and clinical criteria, or by surgical diagnosis. Demographics, sonographic data, clinical treatment, surgical treatment, and post-operative information were retrieved. Results: The study cohort included 144 women who met the inclusion criteria, of whom 78 (54.2%) had unilateral TOA and 66 (45.8%) had bilateral TOA. Baseline characteristics were not different between the groups. There was a statistical trend that women with fewer events of previous PID were less likely to have with bilateral TOA (75.3% vs. 64.1%, respectively; p = 0.074). Women diagnosed with bilateral TOA were more likely to undergo surgical treratment for bilateral salpingo-oophorectomy compared to unilateral TOA (61.5% vs. 42.3%, respectively; p = 0.04). There was no difference in maximum TOA size between groups. Conclusions: This study detected a trend toward increased need for surgical treatment in women diagnosed with bilateral TOA. These findings may contribute to determining the optimal medical or surgical treatment, potentially leading to a decrease in the duration of hospitalization, antibiotic exposure, and resistance. However, it is important to acknowledge that the results of the current study are limited, and further research is warranted to validate these potential outcomes.
AB - Objectives: To assess the characteristics of patients with unilateral and bilateral tubo-ovarian abscess (TOA). Methods: Women diagnosed with TOA during 2003–2017 were included in this retrospective cohort study. TOA was diagnosed using sonography or computerized tomography and clinical criteria, or by surgical diagnosis. Demographics, sonographic data, clinical treatment, surgical treatment, and post-operative information were retrieved. Results: The study cohort included 144 women who met the inclusion criteria, of whom 78 (54.2%) had unilateral TOA and 66 (45.8%) had bilateral TOA. Baseline characteristics were not different between the groups. There was a statistical trend that women with fewer events of previous PID were less likely to have with bilateral TOA (75.3% vs. 64.1%, respectively; p = 0.074). Women diagnosed with bilateral TOA were more likely to undergo surgical treratment for bilateral salpingo-oophorectomy compared to unilateral TOA (61.5% vs. 42.3%, respectively; p = 0.04). There was no difference in maximum TOA size between groups. Conclusions: This study detected a trend toward increased need for surgical treatment in women diagnosed with bilateral TOA. These findings may contribute to determining the optimal medical or surgical treatment, potentially leading to a decrease in the duration of hospitalization, antibiotic exposure, and resistance. However, it is important to acknowledge that the results of the current study are limited, and further research is warranted to validate these potential outcomes.
KW - Laparoscopic salpingo-oophorectomy
KW - PID
KW - Pelvic inflammatory disease
KW - TOA
KW - Tubo-ovarian abscess
UR - http://www.scopus.com/inward/record.url?scp=85180181762&partnerID=8YFLogxK
U2 - 10.1186/s12905-023-02826-x
DO - 10.1186/s12905-023-02826-x
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C2 - 38115034
AN - SCOPUS:85180181762
SN - 1472-6874
VL - 23
JO - BMC Women's Health
JF - BMC Women's Health
IS - 1
M1 - 678
ER -