Effect of Simultaneous Cystectomy on Ovarian Reserve in Cases of Adnexal Torsion: A Prospective Case-Control Study

Objective: Adnexal torsion is one of the gynecological surgical emergencies that can be seen in women of all ages, with or without an ovarian cyst. In this study, it was aimed to investigate the effect of performing cystectomy on ovarian reserve in an ovary exposed to ischemia during emergency surgery in cases of adnexal torsion with an ovarian cyst, which is presumed to be benign. Material and Methods: The ovaries of nineteen women who underwent laparoscopic detorsion due to adnexal torsion (Group 1) and the ovaries of ten women who underwent laparoscopic detorsion+cystectomy in the same session with adnexal torsion due to a cyst, which was presumed to be benign (Group 2) were compared in terms of ovarian volume and antral follicular counts (AFC). Results: There was no statistically significant difference between the volumes and AFCs of the operated ovaries of the women in Group 1 (ovarian volume 11.56±9.58 cm3, AFC: 8.52±5.92 cm3) and the women in Group 2 (ovarian volume 10.99±5.07 cm3, AFC: 9.20±3.15 cm3) (p>0.05). Conclusion: Performing a cystectomy during detorsion surgery for a cyst presumed to be benign in a torsioned ovary exposed to ischemia does not seem to do any additional harm when evaluated in terms of AFC and volume.