I’m sorry you’re in such pain, Sylvia. It’s probably not pouch-related, especially if it doesn’t feel like an obstruction, which you are all too familiar with. They’ll just have to start looking for the source, whether it’s ovarian or something else. It could be something like a herniated spinal disc, which can feel like pain in whatever body part the compressed nerves are carrying signals from. There are lots of other possibilities that they’ll have to consider in turn. Good luck!