Laparoscopic Evaluation of Chronic Pelvic Pain.

ABSTRACT

The present study was undertaken to find out the role of laparoscopy in evaluation of chronic pelvic pain and to correlate laparoscopic findings with preoperative pelvic findings. Fifty-two women with pelvic pain of more than 6 months duration were included. They were examined clinically and then subjected to Transabdominal sonography and laparoscopy. Of 52 patient's enrolled for study, 51.92% of patients were in the age group of 21-30 years with equal number of cases from rural and urban areas. Abnormal menstrural cycle patterns were seen in 32.70% of patients with menorrhagia contributing 23.07%. 44.24% patients had abnormal pelvic findings on preoperative pelvic examination. Ultrasonography could detect abnormality in 32.70% of patients as compared to Laparoscopy which had abnormal findings in 75%. Most common pelvic pathology was PID in 26.92% followed by adhesions in 12.07% cases which could not be detected clinically and on sonography. Laparoscopy is a more sensitive and superior method for evaluation of chronic pelvic pain as compared to ultrasonography. Laparoscopy can establish a definitive diagnosis, modify and provide treatment without resorting to exploratory laparotomy .