Aa
How can this be?
I had a complete hysterectomy in 1995. I had several problems, polycystic ovaries, endomet., adhensions, tumors, The doctor recomended a complete hysterectomy, uterus, tubes both ovaries, ect...
I have been on HRT until last year, I was scared to keep taking it, and now the last year I have had pain in my lower right side. I have brought this up to my family doctor 4 different times just to be blown off. I scheduled an appt. with the doctor that did the hysterectomy to discuss this pain, and she said she thought it was just from the colonoscopy that I had had 2 years prior, and I should go see that doctor. Then she decided to do blood work to check my horome levels. They came back extremly low, which she then told me that I have not went into menopause! I had a TOTAL hysterectomy! I have had the night sweats where I would wake up drenched and have to change the sheets and my clothes, not to mention the hrt for the last 12 years. now she wants to do a ct scan. She said that it is possible that they LEFT some ovary tissue. I had a hysterectomy because she told me that I was a mess and that I did have cancer cells, I was 39 years old. What does this mean? If I had cancer cells, and they left part of my ovary, how can this be??? How can you leave PART of an ovary? I am so scared, Has anyone else had this problem? What should I do?
I have been on HRT until last year, I was scared to keep taking it, and now the last year I have had pain in my lower right side. I have brought this up to my family doctor 4 different times just to be blown off. I scheduled an appt. with the doctor that did the hysterectomy to discuss this pain, and she said she thought it was just from the colonoscopy that I had had 2 years prior, and I should go see that doctor. Then she decided to do blood work to check my horome levels. They came back extremly low, which she then told me that I have not went into menopause! I had a TOTAL hysterectomy! I have had the night sweats where I would wake up drenched and have to change the sheets and my clothes, not to mention the hrt for the last 12 years. now she wants to do a ct scan. She said that it is possible that they LEFT some ovary tissue. I had a hysterectomy because she told me that I was a mess and that I did have cancer cells, I was 39 years old. What does this mean? If I had cancer cells, and they left part of my ovary, how can this be??? How can you leave PART of an ovary? I am so scared, Has anyone else had this problem? What should I do?
Definition of Ovarian remnant syndrome
Ovarian remnant syndrome: Pelvic pain due to leftover ovarian tissue after removal of the ovaries and fallopian tubes. Ovarian remnant syndrome can cause cyclic pain and pressure on the vagina, rectum, bladder, and ureter. The ovarian remnants may be removable with laparoscopy. A qualified gynecologist familiar with the condition should be consulted.
Ovarian remnant syndrome: Pelvic pain due to leftover ovarian tissue after removal of the ovaries and fallopian tubes. Ovarian remnant syndrome can cause cyclic pain and pressure on the vagina, rectum, bladder, and ureter. The ovarian remnants may be removable with laparoscopy. A qualified gynecologist familiar with the condition should be consulted.
OVARIAN REMNANT SYNDROME
Remnant to me would mean they left a small amount of ovary! I guess I would be right then in my guess.........?
P.M. Magtibay, J.L. Nyholm, J.L. Hernandez, K.C. Podratz
Mayo Clinic Foundation, Rochester, MN
OBJECTIVE: To examine a cohort of 186 patients managed for ovarian remnant syndrome at Mayo Clinic from 1985 through 2003.
MATERIALS AND METHODS: Data was abstracted from the records of 186 patients with a prior history of bilateral salpingo-oophorectomy (BSO) and subsequent pathologic confirmation of residual ovarian tissue following surgical re-exploration which included excision of the pelvic-sidewall peritoneum and the vaginal apex. A questionnaire was mailed to all patients in an attempt to secure updated information.
RESULTS: The mean age of the cohort was 37.6 years (20 to 73 years) with a mean follow-up of 1.2 years (0.1 to 15.6 years). Of the patients with available data, 90% (153/170) underwent oophorectomy via laparotomy, 13 (7.6%) via laparoscopy and/or 14 (8.2%) via a transvaginal approach. The most common indication for bilateral oophorectomy was endometriosis (56.8%). The mean number of laparotomies and laparoscopies prior to ovarian remnant surgery at Mayo Clinic was 1.4 (0 to 8) and 0.77 (0 to 10), respectively. Of the 186 patients, 105 (56.5%) presented with a pelvic mass and 89 (47.8%) had a variant of pelvic pain including dyspareunia (26.3%), dysuria (6.5%) and/or pain with defecation (5.9%). Despite not receiving estrogen replacement therapy 70 (37%) denied symptoms of estrogen deficiency. Conversely, 77 (41.4%) were immediately place on estrogen replacement therapy following BSO.
Preoperative FSH testing was conducted in 61 (33%) patients with 19 (31.2%) demonstrating menopausal levels of >30mIU/mL. The remnant ovarian tissue was associated with a corpus luteum in 78 patients (42%) and endometriosis in 54 (29%). The intraoperative complication rate was 9.6% including enterotomy/colotomy (5.4%), cystotomy (1.6%) and ureteral injury (1.1%). In addition, 22 (12.2%) patients required transfusion and 3 (1.6%) required a return to the operating room.
Based on abstracted clinic records and/or responses from the questionnaire 12 of 142 (8%) patients with mean surveillance of 15 months required a subsequent reexploration including 10 for persistent pelvic pain and 2 for ureteral stenosis. In only 1 of the 12 patients subjected to reoperation was an ovarian remnant identified.
CONCLUSIONS: In a large cohort of patient treated for ovarian remnant syndrome, endometriosis was the most common primary indicator for oophorectomy. There is modest risk of bowel, bladder, and ureteral trauma with definitive pelvic sidewall striping and apical vaginal excision in this heavily pretreated/operated population. However, the subsequent recurrence rate is indeed minimal (90% of the patients.
Key Words: ovarian remnant syndrome
Disclosure – Nothing to disclose.
Remnant to me would mean they left a small amount of ovary! I guess I would be right then in my guess.........?
P.M. Magtibay, J.L. Nyholm, J.L. Hernandez, K.C. Podratz
Mayo Clinic Foundation, Rochester, MN
OBJECTIVE: To examine a cohort of 186 patients managed for ovarian remnant syndrome at Mayo Clinic from 1985 through 2003.
MATERIALS AND METHODS: Data was abstracted from the records of 186 patients with a prior history of bilateral salpingo-oophorectomy (BSO) and subsequent pathologic confirmation of residual ovarian tissue following surgical re-exploration which included excision of the pelvic-sidewall peritoneum and the vaginal apex. A questionnaire was mailed to all patients in an attempt to secure updated information.
RESULTS: The mean age of the cohort was 37.6 years (20 to 73 years) with a mean follow-up of 1.2 years (0.1 to 15.6 years). Of the patients with available data, 90% (153/170) underwent oophorectomy via laparotomy, 13 (7.6%) via laparoscopy and/or 14 (8.2%) via a transvaginal approach. The most common indication for bilateral oophorectomy was endometriosis (56.8%). The mean number of laparotomies and laparoscopies prior to ovarian remnant surgery at Mayo Clinic was 1.4 (0 to 8) and 0.77 (0 to 10), respectively. Of the 186 patients, 105 (56.5%) presented with a pelvic mass and 89 (47.8%) had a variant of pelvic pain including dyspareunia (26.3%), dysuria (6.5%) and/or pain with defecation (5.9%). Despite not receiving estrogen replacement therapy 70 (37%) denied symptoms of estrogen deficiency. Conversely, 77 (41.4%) were immediately place on estrogen replacement therapy following BSO.
Preoperative FSH testing was conducted in 61 (33%) patients with 19 (31.2%) demonstrating menopausal levels of >30mIU/mL. The remnant ovarian tissue was associated with a corpus luteum in 78 patients (42%) and endometriosis in 54 (29%). The intraoperative complication rate was 9.6% including enterotomy/colotomy (5.4%), cystotomy (1.6%) and ureteral injury (1.1%). In addition, 22 (12.2%) patients required transfusion and 3 (1.6%) required a return to the operating room.
Based on abstracted clinic records and/or responses from the questionnaire 12 of 142 (8%) patients with mean surveillance of 15 months required a subsequent reexploration including 10 for persistent pelvic pain and 2 for ureteral stenosis. In only 1 of the 12 patients subjected to reoperation was an ovarian remnant identified.
CONCLUSIONS: In a large cohort of patient treated for ovarian remnant syndrome, endometriosis was the most common primary indicator for oophorectomy. There is modest risk of bowel, bladder, and ureteral trauma with definitive pelvic sidewall striping and apical vaginal excision in this heavily pretreated/operated population. However, the subsequent recurrence rate is indeed minimal (90% of the patients.
Key Words: ovarian remnant syndrome
Disclosure – Nothing to disclose.
Hello, Just thought I would give you both a little FYI....I had a GYN visit today, and yes I will be having another surgery in a few weeks to remove my second round of ORS. My first round was removed in November of 2006 like I previously mentioned. This is so crazy to me. I is rare for it to happen once, but even more rare to happen twice, but my doctor stated that it can happen over and over numerous times once a person has it once. Yes.....womens bodies are very strange.
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