Effect of Simultaneous Cystectomy on Ovarian Reserve in Cases of Adnexal Detorsion

Completed

• Conditions: Ovarian Torsion
• Interventions: Diagnostic Test: ultrasonography

• Registration Number: NCT05702099
• Lead Sponsor: Bagcilar Training and Research Hospital

Brief Summary

There are mostly ovarian cysts under adnexal torsion from gynecological emergencies. There are many studies in the literature examining the effect of adnexal detorsion on ovarian reserve. However, there is no study in the literature examining the effect of concomitant cystectomy. In this study, the investigators aimed to investigate whether the cystectomy procedure performed together with detorsion has an additional effect on the ovarian reserve in cases of ovarian torsion with cysts.

Detailed Description

All women who underwent emergency surgery in the investigators' obstetrics and gynecology department since April 2015 due to adnexal torsion were analyzed. All patients who underwent ovarian detorsion (Group 1) and ovarian detorsion+cystectomy (Group 2) were called for control between 6-12 months postoperatively. In all patients, the sizes of both ovaries and the number of antral follicles were counted by ultrasonography by 2 physicians who did not know the detorsion side beforehand. All women will be compared within and between groups in terms of ovarian sizes and antral follicle numbers.

Study Timeline

• Study Start: 2017-04-18
• Primary Completion: 2022-08-30
• Study Completion: 2022-09-30
• Study First Submitted: 2022-12-21
• Status Verified: 2023-01
• Study First Submitted QC: 2023-01-18
• Last Update Submitted: 2023-01-18
• Study First Posted: 2023-01-27
• Last Update Posted: 2023-01-27

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 67

Inclusion Criteria

• All women who underwent emergency surgery for ovarian torsion

Exclusion Criteria

• Those who underwent oophorectomy with suspicion of malignancy
• When faced with spontaneously amputated ovary due to chronic or acute torsion
• Women with only salpinx torsion

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Detorsion	ultrasonography	The group in which only adnexal detorsion was performed during the operation (Because there is no ovarian mass)
Detorsion+cystectomy	ultrasonography	Women with an ovarian mass who underwent emergency surgery for torsion, who underwent both detorsion and cystectomy in the same session.

Primary Outcome Measures

Name	Time	Method
Ovarian volume difference between groups	postoperative 6-12 months	To analyze whether there is a difference between the ovarian reserve parameters of women who underwent detorsion and detorsion+cystectomy. With ultrasonographic imaging, both ovaries will be evaluated for ovarian volume ( V = length × width × height × π/6) (cm3). Both the affected ovary will be compared with the contralateral ovary and the affected ovaries will be compared between groups.
The number of antral follicles difference between groups	postoperative 6-12 months	To analyze whether there is a difference between the ovarian reserve parameters of women who underwent detorsion and detorsion+cystectomy. With ultrasonographic imaging, both ovaries will be evaluated for the number of antral follicles. Both the affected ovary will be compared with the contralateral ovary and the affected ovaries will be compared between groups.

Trial Locations

Locations (1)

Bagcilar Teaching and Research Hospital; 🇹🇷 Istanbul, Bagcilar, Turkey