Ovarian remnant syndrome

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

Research output: Contribution to journalArticle

35 Scopus citations

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 - Dec 2005

Keywords

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

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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