ABSTRACT

The objective of this study was to investigate the effect of total abdominal hysterectomy (TAH) combined with bilateral salpingooferectomy(BSO) due to hypoestrogenism on cystocele or rectocele development in postoperative period.

This retrospective study included patients who underwent TAH ± BSO for non-prolapse benign causes between 01 July 2014 and 01 July 2015. Preoperative data related to the patients were collected from hospital records. Patients who completed at least one postoperative year, 50 patients with TAH and 50 patients with TAH ± BSO were reached and gynecologic examinations were performed.

The mean age of the patients in the TAH group (48.08 ± 2.23 years) and the frequency of menopause (44%) were significantly lower than in the TAH ± BSO group (51.46 ± 3.78 years) and menopausal status (90%). There was no statistical difference between the groups in terms of pre- and postoperative cystocele and rectocele grades. Similarly, there was no significant difference between both groups in terms of pre- and postoperative cystocele and rectocele grades. In addition, multiple regression analysis of possible factors that may cause an increase in postoperative cystocele or rectoceles did not reveal a significant factor for either case of oophorectomy.

Hipoestrogenism following the BSO operation with TAH is not an effective factor in the development of cystocele and rectocele in the postoperative short period.