RANZCOG College Statement on prophylactic oophorectomy in older women undergoing hysterectomy for benign disease: Is the evidence sufficient to change practice?

Conclusion:  A survey of gynaecologists revealed that few currently appear to adhere to the College Statement regarding prophylactic oophorectomy at the time of hysterectomy for benign disease. High quality evidence regarding either harm or benefit following retention of ovaries after menopause is lacking. Nevertheless, dialogue between clinicians and patients on this topic is important.

abstract: Should we centralise care for the patient suspected of having ovarian malignancy?

CONCLUSION: In women with an adnexal mass, a diagnostic strategy prior to the decision for surgery by a general gynaecologist or a gynaecological oncologist provides the best balance between costs and effects.

National Guideline Clearinghouse | Initial evaluation and referral guidelines for management of pelvic/ovarian masses 2009

Guideline Title

Initial evaluation and referral guidelines for management of pelvic/ovarian masses.

Bibliographic Source(s)

Le T, Giede C, Society of Obstetricians and Gynaecologists of Canada (SOGC), Gynecologic Oncologists of Canada (GOC), Society of Canadian Colposcopists (SCC). Initial evaluation and referral guidelines for management of pelvic/ovarian masses. Practice guideline. J Obstet Gynaecol Can 2009 Jul 01;(230):668-73.

Guideline Status

This is the current release of the guideline.