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The patients included into the study were those sexually active and healthy patients, aged between 40-60, who underwent treatment between May 2013 and December 2013 in the Istanbul Gulhane Military Medical Academy, Haydarpasa Training Hospital, Obstetrics and Gynaecology Service, Suleymaniye Training and Research Hospital and Namik Kemal University Medical Faculty Hospital, These were patients with no diagnosis of malignancy, planning to have an operation of Type 1 hysterectomy and bilateral salpingo-oophorectomy and subsequently having this kind of operation.
Table 1: Summary of studies of endometriosis in women after total hysterectomy with bilateral salpingo-oophorectomy (THBSO).
The patient received anterior resection of the involved colon and bilateral salpingo-oophorectomy due to the recurrent symptoms.
Some evidence suggests that bilateral salpingo-oophorectomy (BSO) has a negative impact on health when performed prior to menopause - including increased risk of cardiovascular disease, lung cancer, and possibly neurologic conditions.
An endometrial biopsy was performed, followed by a total abdominal hysterectomy, bilateral salpingo-oophorectomy, and pelvic lymph node dissection.
However, for many patients, bilateral salpingo-oophorectomy at the time of hysterectomy is more common, and the local effect of radiation therapy can result in vaginal atrophy with subsequent dyspareunia or ovarian failure from radiation scatter.
Christine is a 39-year-old mother of 2 who underwent risk-reducing, minimally invasive bilateral salpingo-oophorectomy with hysterectomy 4 months ago for a BRCA1 mutation (with benign findings on pathology).
In view of the above findings and to evaluate further, hysterectomy with bilateral salpingo-oophorectomy was done.
None of the 47 women who had undergone a bilateral salpingo-oophorectomy for cancer prevention or benign conditions at the same time as their hysterectomy developed ovarian cancer, but this was not significantly different from the number of controls who developed ovarian cancer (12 of 223).
Cancer was not detected in any participant during the study, but 28% of the women had at least one endometrial sample taken, and 12 patients elected bilateral salpingo-oophorectomy (BSO) for cancer prevention or because of persistent screening abnormalities.

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