{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T05:59:35Z","timestamp":1790661575987,"version":"4.1.0"},"reference-count":23,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T00:00:00Z","timestamp":1790553600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T00:00:00Z","timestamp":1790553600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To evaluate the histopathological spectrum of fallopian tube specimens obtained after tubal sterilization and to investigate its association with sterilization timing, surgical technique, and patient characteristics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective cohort study reviewed the medical records of women who underwent tubal sterilization between January 2023 and August 2025 at a tertiary referral center. Procedures were classified by timing (peripartum, interval, opportunistic) and surgical technique. Histopathological findings were categorized as normal, vascular congestion, cystic changes, inflammatory alterations, structural or obstructive changes, or specific lesions. Associations between histopathological findings and age, gravida, parity, sterilization timing, and surgical technique were analyzed using appropriate statistical methods.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 944 women were included (median age: 35\u2009years; range: 22\u201349). Most procedures were peripartum (83.2%), followed by interval (16.6%) and opportunistic (0.2%). Normal histology was the most common finding (62.1%), followed by vascular congestion (21.5%), cystic changes (11.1%), inflammation (3.3%), and specific lesions (1.3%). Histopathological findings differed significantly according to sterilization timing and surgical technique (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Normal histology predominated in peripartum sterilizations performed during cesarean delivery, whereas abnormal findings were more frequent in interval and opportunistic procedures. Increasing age was associated with specific histopathological categories (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.003), while no significant associations were observed with gravida or parity.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Histopathological findings in tubal sterilization specimens were associated with sterilization timing and patient age, while no significant associations were observed with gravida or parity. These results underscore the importance of interpreting tubal pathology within the appropriate clinical context and provide large\u2010scale data addressing an existing gap in the literature.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jog.70511","type":"journal-article","created":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T05:11:21Z","timestamp":1790658681000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Histopathological Findings in Tubal Sterilization Specimens: A Single\u2010Center Cohort Study"],"prefix":"10.1111","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7193-6557","authenticated-orcid":false,"given":"Tu\u011fba G\u00fcl","family":"Y\u0131lmaz","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Kocaeli Dar\u0131ca Farabi Training and Research Hospital  Kocaeli T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Addule Serhano\u011flu","family":"Se\u00e7en","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Van Training and Research Hospital  Van T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saliha","family":"Sa\u011fn\u0131\u00e7","sequence":"additional","affiliation":[{"name":"Department of Gynecologic Oncology University of Health Sciences Turkey, Kocaeli City Hospital  Kocaeli T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,28]]},"reference":[{"key":"e_1_2_12_2_1","first-page":"1","article-title":"Current Contraceptive Status Among Females Aged 15\u201349: United States, 2022\u20132023","volume":"539","author":"Daniels K.","year":"2025","journal-title":"NCHS Data Brief"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/humupd\/dmq030"},{"issue":"2","key":"e_1_2_12_4_1","doi-asserted-by":"crossref","first-page":"dju410","DOI":"10.1093\/jnci\/dju410","article-title":"Ovarian Cancer Risk After Salpingectomy: A Nationwide Population\u2010Based Study","volume":"107","author":"Falconer H.","year":"2015","journal-title":"Journal of the National Cancer Institute"},{"issue":"3","key":"e_1_2_12_5_1","doi-asserted-by":"crossref","first-page":"596","DOI":"10.1097\/AOG.0000000000000422","article-title":"Female Tubal Sterilization: The Time Has Come to Routinely Consider Removal","volume":"124","author":"Creinin M. 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