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The feasibility and safety of transvaginal bilateral salpingo-oophorectomy.

OBJECTIVE: To investigate the feasibility and safety of transvaginal bilateral salpingo-oophorectomy (BSO).

METHODS: The present retrospective case series included consecutive women who underwent transvaginal BSO at a single general gynecology unit at Weston General Hospital, Weston-super-Mare, UK, between February 1, 2011, and July 31, 2014. Transvaginal BSO procedures were performed by an experienced surgeon. Feasibility and safety outcomes were reviewed from patient case notes.

RESULTS: There were 127 patients included in the analysis. In all, 109 patients underwent transvaginal BSO at the time of vaginal hysterectomy, whereas 18 women underwent this procedure following a previous vaginal hysterectomy. Transvaginal BSO was successful in 126 (99.2%) patients; adverse events occurred among nine (7.1%) patients, including a single occurrence of ureteric injury that was detected and repaired intraoperatively.

CONCLUSION: The present study demonstrated that transvaginal BSO was a feasible and safe procedure when conducted by an experienced surgeon.

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