Ovarian remnant syndrome

Paul Magtibay, Jessica L. Nyholm, Jose L. Hernandez, Karl C. Podratz

Research output: Contribution to journalArticle

35 Citations (Scopus)

Abstract

Objective: This study was undertaken to examine surgical management of patients with ovarian remnant syndrome. Study design: Data were abstracted from records of patients with a history of bilateral salpingo-oophorectomy who were treated surgically at Mayo Clinic between 1985 and 2003 for pathologically confirmed residual ovarian tissue. A follow-up questionnaire was also mailed. Results: Records review identified 186 patients (mean age, 37.6 years; mean follow-up, 1.2 years). Of 180 patients with available data, 153 (85%) underwent oophorectomy by laparotomy, 13 (7%) by laparoscopy, and 14 (8%) by transvaginal approach, mostly for endometriosis (56.8%). Of 186 patients, 105 (57%) presented with pelvic masses and 89 (48%) with pelvic pain. Remnant ovarian tissue was associated with a corpus luteum in 78 (42%) and endometriosis in 54 (29%). The intraoperative complication rate was 9.6%. Of 142 patients, 12 (9%) required subsequent re-exploration (1 ovarian remnant identified). Conclusion: This heavily pretreated population has modest risk of bowel, bladder, or ureteral trauma with definitive pelvic sidewall stripping and apical vaginal excision. However, subsequent recurrence is minimal (<1%). More than 90% of patients reported resolution or marked improvement of symptoms.

Original languageEnglish (US)
Pages (from-to)2062-2066
Number of pages5
JournalAmerican journal of obstetrics and gynecology
Volume193
Issue number6
DOIs
StatePublished - Jan 1 2005

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Ovariectomy
Endometriosis
Pelvic Pain
Corpus Luteum
Intraoperative Complications
Laparoscopy
Laparotomy
Urinary Bladder
Recurrence
Wounds and Injuries
Population
Surveys and Questionnaires

Keywords

  • Bilateral salpingo-oophorectomy
  • Ovarian remnant syndrome
  • Pelvic pain

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Magtibay, P., Nyholm, J. L., Hernandez, J. L., & Podratz, K. C. (2005). Ovarian remnant syndrome. American journal of obstetrics and gynecology, 193(6), 2062-2066. https://doi.org/10.1016/j.ajog.2005.07.067

Ovarian remnant syndrome. / Magtibay, Paul; Nyholm, Jessica L.; Hernandez, Jose L.; Podratz, Karl C.

In: American journal of obstetrics and gynecology, Vol. 193, No. 6, 01.01.2005, p. 2062-2066.

Research output: Contribution to journalArticle

Magtibay, P, Nyholm, JL, Hernandez, JL & Podratz, KC 2005, 'Ovarian remnant syndrome', American journal of obstetrics and gynecology, vol. 193, no. 6, pp. 2062-2066. https://doi.org/10.1016/j.ajog.2005.07.067
Magtibay, Paul ; Nyholm, Jessica L. ; Hernandez, Jose L. ; Podratz, Karl C. / Ovarian remnant syndrome. In: American journal of obstetrics and gynecology. 2005 ; Vol. 193, No. 6. pp. 2062-2066.
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