Elective surgery could slash ovarian cancer rates in Canada

1 pointsposted 14 hours ago
by colinprince

4 Comments

pfdietz

14 hours ago

Q: How many surgeons does it take to change a lightbulb?

A: Why don't we just remove that socket? You're not using it now, and it could cause trouble in the future.

toomuchtodo

14 hours ago

If you're not having any more kids (or are childfree by choice), no need for the fallopian tubes, and the ovarian cancer reduction risk is material [1]. Bilateral salpingectomy (or a "bisalp") is also the standard of care for voluntary permanent sterilization. In the US, this procedure is covered at 100% as preventative care if your health insurance is ACA compliant, or government provided (mentioned as relevant but this piece is from Canada).

(IVF is still an option after a bisalp, with a potential reduction in success rate)

[1] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6137013/ ("Bilateral salpingectomy to reduce the risk of ovarian/fallopian/peritoneal cancer in women at average risk: a position statement of the Korean Society of Obstetrics and Gynecology (KSOG)")

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8785125/ ("Ovarian cancer is the seventh leading cause of cancer mortality in women worldwide, and the fifth leading cause in women in Europe and the USA. National UK statistics report five-year survival for ovarian cancer of 31.0%. This poor survival is partly attributable to late stage at diagnosis: in both UK and US populations, about two-thirds of women have advanced disease (stage III or IV) at diagnosis.")

pfdietz

13 hours ago

Oh, for sure. It just reminded me of the joke.