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Updated: Mar 9, 2026
Surgical Techniques to Optimize Ovarian Reserve during Laparoscopic Cystectomy for Ovarian Endometrioma
Published on: January 22, 2022
Physicians' Perspectives and Practice Patterns Toward Opportunistic Salpingectomy in High- and Low-Risk Women
Nathaniel L Jones1,2, Jay Schulkin3,4, Renata R Urban3
1a Department of Obstetrics and Gynecology , Columbia University College of Physicians and Surgeons , New York , New York , USA.
Background:
Opportunistic bilateral salpingectomy (OBS) has been proposed as an ovarian cancer risk-reducing strategy.
Methods:
A survey was emailed to 300 members of the American College of Obstetricians and Gynecologists.
Results:
125 (42%) surveys were returned: 60% female, 88% generalists, 67% private practice. Only 36% correctly identified the lifetime risk of ovarian cancer, only 23% understood the risk-reducing benefit of bilateral salpingo-oophorectomy. 75% perform salpingectomy during hysterectomy, 26-53% use for sterilization depending on approach. Concerns were increased operative time and complications. For BRCA mutations, 64% recommend BSO, 12% recommend a two-step risk-reducing strategy, and 14% refer to gynecologic oncology.
Conclusions:
We identified broad support and factors limiting willingness to perform OBS.
