Chronic pelvic pain caused by residual ovaries and ovarian remnants.
OBJECTIVE
To determine the diagnostic effectiveness and treatment of women with chronic lower abdominal pain due to residual ovaries or ovarian remnants.


METHODS
A prospective observational study.


METHODS
Tertiary referral pelvic pain clinic.


METHODS
Seventeen women complaining of chronic pelvic pain of up to 25 years' duration, of whom seven had residual ovaries and 10 ovarian remnant(s).


METHODS
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.
Siddall-Allum
J
J
St. Mary's Hospital, London, UK.
Rae
T
T
Rogers
V
V
Witherow
R
R
Flanagan
A
A
Beard
R W
RW
D000328:Adult; D005260:Female; D006801:Humans; D007044:Hysterectomy; D008875:Middle Aged; D010049:Ovarian Diseases / Q000150:complications* / Q000473:pathology / Q000601:surgery; D017699:Pelvic Pain / Q000209:etiology* / Q000473:pathology; D011446:Prospective Studies; D011788:Quality of Life; D013577:Syndrome