A 4 cm ovarian mass may or may not be the cause of your urinary frequency, but the PVR being 114 cc may be related to your urinary problem. It will most likely be due to a weak bladder. Your doctor may ask for urodynamic studies to come to a diagnosis after he has ruled out UTI and bladder neck obstruction
. Origin of the mass in left adnexa is seemingly not yet diagnosed. A TVS scan with color doppler will give a better result. If its from the left ovary, a blood test
(CA 125) may be required. All these will help the doctor determine your risk status, and also whether the mass needs to be removed immediately. The mass if hypoechoeic, which means it could well be cystic and probably benign. You need not worry much.