salpingohysterektomia

Salpingohysterektomia is the surgical removal of the uterus (hysterectomy) together with the fallopian tubes. In many cases the ovaries may be left intact or removed, and the term may be used to describe a procedure that removes both uterus and fallopian tubes while preserving the ovaries. The operation results in permanent loss of menstruation and fertility.

Common indications include uterine fibroids, abnormal or heavy uterine bleeding, adenomyosis, endometriosis, and selected cases of pelvic pain. It may also be performed for gynecologic cancers such as endometrial or cervical cancer, or as part of cancer staging, and in some situations for sterilization when fertility is no longer desired.

Surgical approaches vary and can be abdominal, vaginal, laparoscopic, or robotic-assisted. Bilateral salpingectomy refers specifically to removal of both fallopian tubes, while hysterectomy refers to removal of the uterus. If the ovaries are removed as well, the procedure is a total hysterectomy with bilateral salpingo-oophorectomy; if the ovaries are retained, it is a salpingohysterektomi with ovarian preservation. Recovery and hospital stay are typically shorter with minimally invasive techniques.

Risks include bleeding, infection, injury to surrounding organs such as the bladder, ureters, or bowel, and blood clots. Anesthesia complications are possible. If the ovaries are removed, menopause-like symptoms may occur. Long-term effects on sexual function, pelvic support, or bone density may be discussed with a clinician as part of preoperative planning.