Factors Associated with the need for bilateral salpingo-oophorectomy with or without hysterectomy in patients with a tubo-ovarian abscess

Abstract

Tubo-ovarian abscess (TOA) represents the most serious form of pelvic inflammatory disease. Some patients with TOA can be treated medically, others require surgery. Surgical treatment can be conservative or radical surgery, the reproductive consequences and symptoms associated with early menopause are often devastating for these women. The objective of this retrospective study is to evaluate the clinical characteristics related to the need for performing bilateral salpingo-oophorectomy in patients with a tubo-ovarian abscess. A total of 105 patients who were included. Of these patients, 26 (27.3%) received medical treatment, and 79 (73.7%) surgical treatment. In the latter, 31 had conservative surgery and in 48, bilateral salpingo-oophorectomy was performed. A positive correlation, statistically significant, was found between the number of sex partners, four or more, the size of the abscess, 10 cm or more, and the bilaterality of the abscess with the need to perform more radical surgery.