{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T07:54:32Z","timestamp":1790927672682,"version":"4.1.0"},"reference-count":19,"publisher":"S. Karger AG","license":[{"start":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T00:00:00Z","timestamp":1788739200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/karger.com\/pages\/terms-and-conditions"},{"start":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T00:00:00Z","timestamp":1788739200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/karger.com\/pages\/terms-and-conditions"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Gynecol Obstet Invest"],"abstract":"<jats:p>Objectives: The aim was to evaluate the long-term impact of oophoropexy on pelvic pain symptoms and fertility outcomes in women with recurrent ovarian torsion. Design: This was a retrospective case-control study. Participants: Thirty women who underwent oophoropexy for recurrent ovarian torsion were matched in a 1:2 ratio with 60 women who experienced a single episode of ovarian torsion treated with detorsion alone. Setting: The review was conducted a tertiary university-affiliated medical center. Methods: Demographic, clinical, surgical, and follow-up data were obtained from medical records and structured telephone interviews. Long-term outcomes included dysmenorrhea, dyspareunia, and non-menstrual pelvic pain assessed using a numeric rating scale. Reproductive outcomes were also evaluated. Conditional logistic regression was performed to account for the matched case-control design. Results: Median follow-up was 48 months (IQR 16\u201360). Women who underwent oophoropexy had significantly higher rates of worsening dysmenorrhea (46% vs. 10%), dyspareunia (23.3% vs. 1.7%), and non-menstrual pelvic pain (36.7% vs. 11.7%) compared with controls (all p &lt; 0.01). In adjusted conditional logistic regression accounting for the matched design, oophoropexy remained independently associated with worsening dysmenorrhea (aOR 4.11, 95% confidence interval 1.15\u201314.66, p = 0.030). Fertility outcomes were comparable between groups. Limitations: The retrospective design and limited sample size may affect the generalizability of the findings, and long-term symptoms were assessed using patient-reported measures. Conclusions: Oophoropexy following recurrent ovarian torsion may be associated with long-term pelvic pain symptoms without compromising fertility. These potential risks should be discussed with patients during preoperative counselling.<\/jats:p>","DOI":"10.1159\/goi\/aczag008","type":"journal-article","created":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T11:07:57Z","timestamp":1788520077000},"page":"1-1","source":"Crossref","is-referenced-by-count":0,"title":["The Long-Term Effects of Oophoropexy following Recurrent Ovarian Torsion: A Case-Control Study"],"prefix":"10.1159","author":[{"given":"Amir","family":"Akdam","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yossi","family":"Tzur","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7987-404X","authenticated-orcid":false,"given":"Nadav","family":"Michaan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Einat","family":"Tako","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ishai","family":"Levin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aviad","family":"Cohen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"127","published-online":{"date-parts":[[2026,9,7]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016\/s0002-9378(85)80157-5"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2016.09.019"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000250969.15438.17"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1097\/00006254-199909000-00025"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1016\/s0015-0282(16)56395-x"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2005.01.008"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1016\/s1074-3804(00)80021-3"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2022.05.007"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.12542"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1055\/s-2004-817887"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2004.03.048"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000000995"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpag.2013.01.060"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1016\/s0002-9610(01)00750-4"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2009.12.011"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1016\/s0301-2115(03)00116-7"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1186\/1757-2215-7-69"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1111\/jog.13195"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1989.tb02417.x"}],"container-title":["Gynecologic and Obstetric Investigation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/karger.com\/article-pdf\/doi\/10.1159\/goi\/aczag008","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T07:17:57Z","timestamp":1790925477000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/goi\/aczag008"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,7]]},"references-count":19,"URL":"https:\/\/doi.org\/10.1159\/goi\/aczag008","archive":["Portico"],"relation":{},"ISSN":["0378-7346","1423-002X"],"issn-type":[{"value":"0378-7346","type":"print"},{"value":"1423-002X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,7]]}}}