What is the prognosis of ovarian torsion?

Updated: Jun 27, 2017
  • Author: Erik D Schraga, MD; Chief Editor: Eugene C Lin, MD  more...
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Answer

With early diagnosis and appropriate treatment, the prognosis of ovarian torsion is excellent. However, most patients with ovarian torsion have a delayed diagnosis, often resulting in infarction and necrosis of the ovary. The ovarian salvage rate has been reported below 10% in adults but as high as 27% in a study among pediatric patients. [12]

Although the loss of a single ovary is unlikely to result in significantly reduced fertility and no cases of death due to ovarian torsion have been reported, early diagnosis allows conservative laparoscopic treatment and reduction in complications. In a retrospective large study comparing pregnant patients with adnexal torsion to nonpregnant patients with adnexal torsion, the recurrence rate of torsion was 19.5% in pregnant women and 9.1% in nonpregnant women. [13]


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