Vaginal removal of the ovaries in association with vaginal hysterectomy.

Because of the paucity of reports documenting the risks of removing the ovaries through the vagina in association with vaginal hysterectomy, we undertook a review of our experience. Seventy-seven patients underwent vaginal oophorectomy in conjunction with other vaginal surgery. Twenty-eight of them had indications for removal of the ovaries. In 47 the ovaries were removed electively in the perimenopausal period. There was no significant increase in morbidity, and only one patient had major bleeding problems associated with the procedure.