Partial Hysterectomy and Fallopian Tubes: Are They Removed?
A partial (supracervical) hysterectomy removes the uterine corpus (fundus/body) while preserving the cervix. The fallopian tubes are typically left in situ unless a separate bilateral salpingectomy is performed.
Reasons to Remove Tubes (Salpingectomy)
- Ovarian cancer risk reduction (serous carcinomas often originate in fimbriae).
- History of ectopic pregnancy, hydrosalpinx, chronic PID.
- Patient request for permanent sterilization.
Considerations
- Ovarian blood supply partly via tubal vessels; salpingectomy may slightly reduce ovarian reserve.
- Cervical retention requires continued Pap/HPV screening.
- Discuss with your gynecologic surgeon preoperatively.
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