Bilateral Salpingo-Oophorectomy

Removal of both fallopian tubes and ovaries is called a Bilateral Salpingo-oophorectomy (BSO). The fallopian tubes transport the egg from the ovary to the womb (uterus). The fallopian tube is also where the sperm and egg meet and become fertilized and move down into the uterus. Usually when a BSO is done, the uterus was previously removed.

Removing both tubes and ovaries will:

  • Put you into the menopause. You will no longer have menstrual periods.

  • May cause you to have symptoms of menopause (hot flashes, night sweats, mood changes).

  • Not affect your sex drive or physical relationship.

  • Cause you to not be able to become pregnant (sterile).

LET YOUR CAREGIVER KNOW ABOUT:

  • Allergies to food or medication.

  • Medications taken including herbs, eye drops, over-the-counter medications, and creams.

  • Use of steroids (by mouth or creams).

  • Previous problems with anesthetics or numbing medication.

  • Possibility of pregnancy, if this applies.

  • Your smoking habits

  • History of blood clots (thrombophlebitis).

  • History of bleeding or blood problems.

  • Previous surgeries.

  • Other health problems.

RISKS AND COMPLICATIONS

All surgery is associated with risks. Some of these risks are:

  • Injury to surrounding organs.

  • Bleeding.

  • Infection.

  • Blood clots in the legs or lungs.

  • Problems with the anesthesia.

  • The surgery does not help the problem.

  • Death.

BEFORE THE PROCEDURE

  • Do not take aspirin or blood thinners because it can make you bleed.

  • Do not eat or drink anything at least 8 hours before the surgery.

  • Let your caregiver know if you develop a cold or an infection.

  • If you are being admitted the day of surgery, arrive at least 1 hour before the surgery to read and sign the necessary forms and consents.

  • Arrange for help when you go home from the hospital.

  • If you smoke, do not smoke for at least 2 weeks before the surgery.

PROCEDURE

You will change into a hospital gown. Then, you will be given an IV (intravenous) and a medication to relax you. You will be put to sleep with an anesthetic. Any hair on your lower belly (abdomen) will be removed, and a catheter will be placed in your bladder. The fallopian tubes and ovaries will be removed either through 2 very small cuts (incisions) or through large incision in the lower abdomen.

AFTER THE PROCEDURE

  • You will be taken to the recovery room for 1 to 3 hours until your blood pressure, pulse, and temperature are stable and you are waking up.

  • If you had a laparoscopy, you may be discharged in several hours.

  • If you had a laparoscopy, you may have shoulder pain for a day or two from air left in the abdomen. The air can irritate the nerve that goes from the diaphragm to the shoulder.

  • You will be given pain medication as is necessary.

  • The intravenous and catheter will be removed.

  • Have someone available to take you home from the hospital.

HOME CARE INSTRUCTIONS

  • Only take over-the-counter or prescription medicines for pain, discomfort, or fever as directed by your caregiver.

  • Do not take aspirin. It can cause bleeding.

  • Do not drive when taking pain medication.

  • Follow your caregiver's advice regarding diet, exercise, lifting, driving, and general activities.

  • You may resume your usual diet as directed and allowed.

  • Get plenty of rest and sleep.

  • Do not douche, use tampons, or have sexual intercourse until your caregiver says it is okay.

  • Change your bandages (dressings) as directed.

  • Take your temperature twice a day and write it down.

  • Your caregiver may recommend showers instead of baths for a few weeks.

  • Do not drink alcohol until your caregiver says it is okay.

  • If you develop constipation, you may take a mild laxative with your caregiver's permission. Bran foods and drinking fluids helps with constipation problems.

  • Try to have someone home with you for a week or two to help with the household activities.

  • Make sure you and your family understands everything about your operation and recovery.

  • Do not sign any legal documents until you feel normal again.

  • Keep all your follow-up appointments.

SEEK MEDICAL CARE IF:

  • There is swelling, redness, or increasing pain in the wound area.

  • Pus is coming from the wound.

  • You notice a bad smell from the wound or surgical dressing.

  • You have pain, redness, or swelling from the intravenous site.

  • The wound is breaking open (the edges are not staying together).

  • You feel dizzy or feel like fainting.

  • You develop pain or bleeding when you urinate.

  • You develop diarrhea.

  • You develop nausea and vomiting.

  • You develop abnormal vaginal discharge.

  • You develop a rash.

  • You have any type of abnormal reaction or develop an allergy to your medication.

  • You need stronger pain medication for your pain.

SEEK IMMEDIATE MEDICAL CARE IF:

  • You develop an unexplained temperature above 100° F (37.8° C).

  • You develop abdominal pain.

  • You develop chest pain.

  • You develop shortness of breath.

  • You pass out.

  • You develop pain, swelling, or redness of your leg.

  • You develop heavy vaginal bleeding with or without blood clots.