Long-term risk of adnexal operation after vaginal hysterectomy for pelvic organs prolapse repair

Yossi Geron*, Anat From, Ran Matot, Yoav Peled, Ram Eitan, Haim Krissi

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


Objective: To determine if women who undergo vaginal hysterectomy for pelvic floor prolapse repair without concomitant opportunistic bilateral salpingo-oophorectomy are at increased risk of further complications related to the remaining adnexa later in life. Study Design: The database of a tertiary university medical center was searched for all women who underwent vaginal hysterectomy as part of the treatment for pelvic organ prolapse, without opportunistic adnexectomy, from 2006 to 2015 to provide adequate time for long-term evaluation. Demographic and clinical data including surgeries performed during the long-term follow-up were collected from all medical insurer electronic medical records. Results: The cohort included 427 women of mean age 63 ± 9.3 years; 90.9 % were postmenopausal. Mean duration of follow-up was 10.7 ± 2.6 years. During the follow-up period, only 3 patients (0.7 %) were re-operated for left adnexal pathology, non-malignant in all cases. Conclusion: In women undergoing vaginal hysterectomy for pelvic organ prolapse without opportunistic adnexectomy, preservation of the adnexa poses only a very low risk for adnexal pathology or need for reoperation later in life.

Original languageEnglish
Pages (from-to)1-3
Number of pages3
JournalEuropean Journal of Obstetrics and Gynecology and Reproductive Biology
StatePublished - Mar 2024


  • Opportunistic salpingo-oophorectomy
  • Vaginal hysterectomy


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