{"paper_id":"b28898d3-9d9b-433b-828a-8d2f301cf8b2","body_text":"Abstract\nIntroduction\nLaparoscopy, because of its availability and safety, provides a valuable tool in the evaluation of undiagnosed chronic pelvic pain. It is a simple and definitive means of establishing the presence or absence of pelvic pathology without resorting to major abdominal surgery.\nObjective\nTo evaluate the causes of chronic pelvic pain using laparoscopy and to correlate between clinical examination, ultrasonography, and laparoscopy.\nMaterial and methods\nThe present prospective study was done in the Department of Obstetrics and Gynecology of Pt. BD Sharma, PGIMS Rohtak. Fifty cases of chronic pelvic pain attending gynae OPD were included in the study. After detailed history, examination, investigations, and ultrasonography, the patients were subjected to laparoscopy.\nResults\nThe mean age and parity of the patients with CPP was 30.88 ± 7.71 years and 1.74 ± 1.38, respectively. The mean duration of pain was 2.8 years (6 months–8 years). The commonest finding on laparoscopy was adhesions in 40%, endometriosis in 18%, and pelvic congestion syndrome in 20%, while 10% of the patients had normal pelvis. Laparoscopic findings were taken as gold standard and pelvic examination and ultrasonographic findings were compared with it.\nConclusion\nClinical examination and ultrasonography has a sensitivity of 8.1 and 2%, respectively. Laparoscopy helps in detecting many causes of CPP which clinical methods and ultrasonography fail to identify. This enforces the position of laparoscopy as a gold standard in evaluation of this condition.\nSimilar content being viewed by others\nReferences\nHoward FM (1993) The role of laparoscopy in chronic pelvic pain: promise and pitfall. Obstet Gynecol Surv 48:357–387\nZondervan KT, Yudkin PL, Vessey MP (1999) Prevalence and incidence of chronic pelvic pain in primary care: evidence from a national general practice database. Br J Obstet Gynaecol 106:1149–1155\nNewham AP, VanderSpuy ZM, Nugent F (1996) Laparoscopic findings in women with chronic pelvic pain. S Afr Med J 86:1200–1203\nMara M, Fucikova Z, Kuzel D (2002) Laparoscopy in chronic pelvic pain—a retrospective clinical study. Ceska Gynekol 67:38–46\nHoward FM (1993) The role of laparoscopy in chronic pelvic pain; the promises & pitfalls. Obstet Gynecol Surv 106:49–55\nKresch AJ, Seifer DB, Sachs LB (1984) Laparoscopy in 100 women with chronic pelvic pain. Obstet Gynecol 64:672–674\nGoldstein DP, Decholnoky C, Emans SJ (1980) Laparoscopy in the diagnosis and management in pelvic pain in adolescents. J Reprod Med 24:251–256\nKamilya G, Mukherji J, Gayen A (2005) Different methods for evaluation of chronic pelvic pain. J Obstet Gynecol India 55:251–253\nSebanti G, Sarathi CP (2008) Laparoscopy in chronic pelvic pain. J Obstet Gynecol India 58:435–437\nHebbar S, Chawla C (2005) Role of laparoscopy in evaluation of chronic pelvic pain. J Min Access Surg 116–120\nNezhat FR, Crystal RA, Nezhat CH, Nezhat CR (2000) Laparoscopic adhesiolysis and relief of chronic pelvic pain. JSLS 4:281–285\nDwarakanath LS, Persad PS, Khan KS (1998) Role of laparoscopy in the management of chronic pelvic pain. Hosp Med 59:627–631\nHoward FM (2000) The role of laparoscopy as a diagnostic tool in chronic pelvic pain. Baillieres Best Pract Res Clin Obstet Gynecol 14:467–494\nHoward FM, El-Minawi AM, Sanchez RA (2000) Conscious pain mapping by laparoscopy in women with chronic pelvic pain. Obstet Gynecol 96:934–939\nNeis KJ, Neis F (2009) Chronic pelvic pain: cause, diagnosis and therapy from a gynecologist’s and an endoscopist’s point of view. Gynecol Endocrinol 25(11):757–761\nRichardson WS, Stefanidis S, Chang L, Earle DB, Fanelli RD (2009) The role of diagnostic laparoscopy for chronic abdominal condition: an evidence-based review. Surg Endosc 23(9):2073–2077\nDuleba AJ, Keltz MD, Olive DL (1996) Evaluation and management of chronic pelvic pain. J Am Assoc Gynecol Laparosc 3(2):205–227\nConflict of interest statement\nNone.\nAuthor information\nAuthors and Affiliations\nCorresponding author\nRights and permissions\nAbout this article\nCite this article\nSharma, D., Dahiya, K., Duhan, N. et al. Diagnostic laparoscopy in chronic pelvic pain. Arch Gynecol Obstet 283, 295–297 (2011). https://doi.org/10.1007/s00404-010-1354-z\nReceived:\nAccepted:\nPublished:\nIssue date:\nDOI: https://doi.org/10.1007/s00404-010-1354-z","source_license":"CC0","license_restricted":false}