Driving Factors of Decision Making for Prophylactic Salpingectomy Versus Tubal Ligation at the Time of Cesarean Section

Bartin State Hospital

Status: Completed

Conditions: Sterilization, Tubal; Salpingectomy

Treatments: Procedure: Surgical sterilization

Study type: Observational

Funder types: Other

Identifiers

NCT03830502

EtfalSalp

Details and patient eligibility

About

Prophylactic (Opportunistic) salpingectomy is a cost-effective strategy recommended for reducing the risk of ovarian cancer at the time of gynecologic surgery in women who have completed childbearing. Similar evidence for cesarean section is growing. However, salpingectomy refers to the surgical removal of a female reproductive organ. Some women may have hesitations about salpingectomy with regard to religious concerns, reduced self-image, tubal reanastomosis or lack of knowledge.

The investigators aimed to explore the underlying factors that motivate women for either decisions.

Full description

Prophylactic and opportunistic bilateral salpingectomy is an increasing trend among surgeons and also proven as an effective risk-reducing method for ovarian cancer.

The investigators have experienced denials among women who were seeking tubal ligation as a sterilization procedure during cesarean section after a comprehensive counseling for prophylactic salpingectomy. Therefore, the investigators aimed to assess the driving factors of decision making for prophylactic salpingectomy or tubal ligation. It is planned to preoperatively have a non-validated questionnaire for the women after a detailed briefing.

Enrollment: 58 patients

Sex: Female

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Women seeking for surgical sterilization during their cesarean section
• Elective and Category 2 or more planned cesarean sections

Exclusion criteria

• Clinical conditions that lead to planned cesarean hysterectomy such as placenta percreata
• History of ovarian cancer, previous chemotherapy or radiation
• Women who previously underwent sterilization

Trial design

58 participants in 2 patient groups

Salpingectomy

Description:

Women who gave consent for opportunistic prophylactic bilateral salpingectomy during cesarean section as a Surgical sterilization procedure

Treatment:

Procedure: Surgical sterilization

Tubal ligation

Description:

Women who refused salpingectomy and gave consent for tubal ligation during cesarean section as a Surgical sterilization procedure

Treatment:

Procedure: Surgical sterilization