Ovarian remnant syndrome

Title

Summary Summary

Ovarian remnant syndrome occurs when ovarian tissue is left behind following surgery to remove both ovaries (bilateral oophorectomy). Common signs and symptoms include a mass and cyclic pelvic pain.^[1]^[2]^[3]

Last updated: 12/12/2012

Symptoms Symptoms

Common signs and symptoms of ovarian remnant syndrome include a mass and regular pelvic pain. Ovarian remnant syndrome may cause blockages of the urinary tract.^[1]^[2]^[3] The Mayo Clinic provides additional information on urinary tract blockages (ureteral obstruction) at the following link:
http://www.mayoclinic.org/ureteral-obstruction/

Last updated: 12/12/2012

Cause Cause

Ovarian remnant syndrome is more likely to occur in women who had endometriosis, pelvic inflammatory disease, tumor, prior abdominal or pelvic surgeries, or increased blood vessels in the pelvis prior to surgery. Other risk factors for ovarian remnant syndrome include extra bleeding during the surgery, variations in pelvic anatomy, poor surgical technique, and laparoscopic surgery.^[1]^[2]^[3]

Last updated: 10/18/2013

Diagnosis Diagnosis

Ovarian remnant syndrome is suspected in women with a surgical history of bilateral oophorectomy and follicle stimulating hormone (FSH) levels in the premenopausal range or normal serum estradiol levels. Other suggestive signs include persisting periods (in women whose uterus has been retained), relief of symptoms after medical therapy to suppress ovarian function, and a pelvic mass on imaging study (e.g., transvaginal ultrasound, CT scan, or MRI examination).^[1]^[2]^[3]

Last updated: 12/12/2012

Treatment Treatment

Treatment may involve surgery to remove the remnant ovarian tissue, however the remnant can be very difficult to distinguish from surrounding tissues.^[1] Surgery should be performed by highly experienced surgeons. When surgery is not an option, treatment may be aimed at preventing blockages of the urinary tract. There have been individual case reports describing the use of leuprolide acetate therapy for treatment of ovarian remnant syndrome and ureter blockage.^[3] Ovarian remnant syndrome may recur following treatment.^[1]^[3]

Last updated: 12/12/2012

Learn More Learn More

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In-Depth Information

PubMed is a searchable database of medical literature and lists journal articles that discuss Ovarian remnant syndrome. Click on the link to view a sample search on this topic.

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I can not find any help in regards to this disease. Since I was diagnosed with this I have been left to deal with it myself and its getting to the point of no return. So any help in getting me pointed in the right direction would be helpful. See answer

References References

Valea FA, Mann WJ. Oophorectomy and ovarian cystectomy. In: Basow, DS. UpToDate. Waltham, MA: UpToDate; 2012;
Benign Gynecologic Lesions: Ovarian Remnant Syndrome. In: Lentz. Comprehensive Gynecology, 6th ed. Philadelphia, PA: Mosby; 2012;
Pathophysiology of Urinary Tract Obstruction: Ovarian Remnants. In: Wein. Campbell-Walsh Urology, 10th. ed. Philadelphia, PA: Saunders; 2011;

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