Comparison of the effects of different routes of hysterectomy with salpingectomy procedures on the ovarian reserve, overian doppler and sexual function parameters

Objective: The most common procedure in the operative gynecology is the hysterectomy which is performed with various indications and via several different routes. Considering the pathogenesis of epithelial ovarian cancer, addition of salpingectomy to hysterectomy in the low-risk group for ovarian cancer is now the primary risk-reducing method used in gynecology practice. There is no clear consensus on the effect of salpingectomy on ovarian reserve in previous studies. In this study, it was planned to compare the effects of different hysterectomy routes on ovarian reserve, ovarian doppler and sexual function in salpingectomy added to hysterectomy. Method: A total of 46 patients who were planned to have hysterectomy operation due to benign gynecologic conditions were included in the prospectively designed study after their informed consent was obtained. The patients were evaluated with Anti-müllerian hormone (AMH), Female Sexual Function Index (FSFI) questionnaire and ovarian doppler preoperatively and at the 3rd month postoperatively and only with AMH and ovarian doppler at the 1st month postoperatively. Comparisons between and within groups were made according to the route of hysterectomy. Conclusion: Baseline demographic and clinical charactheristics were similar between the groups in t. There were no significant difference in AMH values ​​in the 1st and 3rd months in the laparoscopy (L/S) group (0.15(0.01:2) ng/ml-0.09(0.01:1.57) ng/ml-0.16(0.01:2.51) ng/ml). A significant difference was found ​​in the 1st month in the Laparotomy (L/T) group (p=0.043); however, no significant difference was found at 3rd months (0.1(0.01:3.4) ng/ml- 0.05(0.01:2.82) ng/ml-0.07(0.01:3.5) ng/ml). When the two groups were compared, no significant difference was found between the changes in AMH in the 1st and 3rd months. In FSFI scores, a significant difference was found in the increase in sexual desire, arousal, and total scores in L/S group (p=0.023-p=0.028-p=0.025-p=0.033). A significant difference was found in the increase in sexual desire, lubrication, pain, and total scores in L/T group (p=0.005-p=0.011-p=0.030-p=0.004). ). There was no significant difference in the difference score between the groups. In Doppler parameters, right ovarian PI-RI was significantly lower in the L/S group at 1 month (p=0.016-p=0.039-p=0,044), but there was no significant difference at 3 months. There was no significant change in the L/T group at the 1st month, and the left ovarian S/D was higher at the 3rd month (p=0.017). When the two groups are compared, the change between right ovarian RI-PI in the 1st month in the L/S group is significant (p=0.019-p=0.027), there is no significant change in the 3rd month. Keywords: Laparoscopic hysterectomy, salpingectomy, ovarian reserve, sexual function, ovarian doppler