Table 6

Pros and cons of prophylactic hysterectomy with and without salpingo-oophorectomy

ProsCons
Prevention of endometrial and ovarian cancerSmall risk of death
Prevention of morbidity related to treatmentMortality surgery (0.1%)
Morbidity surgery (5–9%)
Pelvic surgery makes colonoscopy more difficult and painful and may reduce chance of full colonoscopy
Psychosocial problems (10–20%)
Early menopause depending of age at surgery
Sexual problems related to hysterectomy and early menopause
Probably very small risk of developing primary peritoneal carcinoma after oophorectomy
Unnecessary removal