ReviewAsian journal of urology2025
Opportunistic salpingectomy during radical cystectomy for bladder cancer: A systematic review of the literature.
Review in Asian journal of urology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
5 authors.
Funding
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Abstract
Objective: Pelvic organ-sparing surgery aims to preserve vital reproductive and sexual organs, enhancing quality of life, especially in premenopausal women. Pelvic organ preservation for female patients undergoing radical cystectomy is now emphasized for sexual and hormonal function. Recent screening studies show no survival advantage despite early diagnosis of ovarian cancer, but opportunistic salpingectomy could reduce high-grade serous carcinoma risk. The aim of this review was to analyze the incidence of metachronous or delayed ovarian cancer in patients undergoing radical cystectomy for bladder cancer. Methods: PubMed, Scopus, Web of Science, ClinicalTrials.gov, and Cochrane Library were searched systematically for English-language articles up to June 2024. The selection was done first by title and abstract screening and then by full-text assessment for eligibility. This review has been registered in PROSPERO (CRD42024561902). Results: This review included two retrospective studies (2211 patients). Most patients had local or regional advanced disease, with a minority having distant disease. Only one study reported direct pelvic organ involvement from urothelial cancer, with no ovarian involvement found. Among patients who had organ-sparing surgery or pelvic exenteration, only two developed ovarian cancer post-surgery. No mean follow-up time or side effects from pelvic organ removal were reported in either study. Conclusion: When oncologically safe, ovarian-sparing surgery with salpingectomy should be considered in female bladder cancer patients undergoing radical cystectomy. Opportunistic salpingectomy should be encouraged during abdominal urological surgeries, with thorough pre-operative counseling guiding decisions. Further studies are needed to define the role of preventive gynecologic surgery in urologic procedures.
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