Chronic pelvic pain caused by residual ovaries and ovarian remnants

J Siddall-Allum, Jane Siddall-Allum, Toni Rae, T Rae, V. Rogers, R Witherow, R. O'N. WITHEROW, Adrienne M. Flanagan, A Flanagan, R. W. Beard
British journal of obstetrics and gynaecology · 1994 · vol. 101(11) , pp. 979–985 · doi:10.1111/j.1471-0528.1994.tb13044.x · PMID:7999729 · W2003411530
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This study investigated residual ovaries and ovarian remnants as causes of chronic pelvic pain, finding surgical removal relieved pain and improved quality of life in most affected women.

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Abstract

OBJECTIVE: To determine the diagnostic effectiveness and treatment of women with chronic lower abdominal pain due to residual ovaries or ovarian remnants. DESIGN: A prospective observational study. SETTING: Tertiary referral pelvic pain clinic. SUBJECTS: Seventeen women complaining of chronic pelvic pain of up to 25 years' duration, of whom seven had residual ovaries and 10 ovarian remnant(s). MAIN OUTCOME MEASURES: Persistent lower abdominal pain, pelvic tenderness and quality of life one year post-operatively. RESULTS: Six of the seven women with residual ovaries, and nine of the 10 women with presumed ovarian remnants experienced relief of the original pain, loss of pelvic tenderness and an improved quality of life. CONCLUSIONS: Residual ovaries after hysterectomy and ovarian remnants are established causes of chronic pelvic pain. Diagnosis and surgical removal is frequently difficult. Management strategies are proposed for both conditions.

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Condition tags

chronic_pelvic_pain

MeSH descriptors

Ovarian Diseases Pelvic Pain Adult Female Humans Hysterectomy Middle Aged Ovarian Diseases Ovarian Diseases Ovarian Diseases Pelvic Pain Pelvic Pain Prospective Studies Quality of Life Syndrome

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