Assessment of Degree of Chronic Pelvic Pain and Adhesion: An Observational Study

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This observational study in 40 women with endometriosis found that moderate pain was most common and tubal involvement exceeded ovarian involvement, with postoperative pain intensity subsiding following corrective procedures.

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This observational study evaluated the correlation between chronic pelvic pain intensity and adhesion severity in a cohort of 40 women diagnosed with endometriosis. Participants underwent staging via laparoscopy or laparotomy using the ASRM classification system, with corrective procedures performed concurrently while pain levels were measured using a visual analogue scale. The results indicated that tubal involvement was more extensive than ovarian involvement across all patients, and post-operative outcomes showed a reduction in pain intensity following surgical intervention. This paper is centrally about endometriosis — specifically assessing the relationship between disease extent, adhesions, and symptom severity in affected patients.

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Abstract

Aim: To evaluate degree of chronic pelvic pain and degree of adhesion. Materials and Methods: The present clinico-observational study was conducted in the Department of Obstetrics and Gynecology, Nalanda Medical College and Hospital, Patna, Bihar among 40 women diagnosed with endometriosis. Pain intensity was assessed by visual analogue scale (VAS) and categorized as mild, moderate or severe accordingly. This was followed by laparoscopy/ laparotomy and staging of endometriosis which was done as per the American Society for Reproductive Medicine (ASRM) classification system. Corrective procedures were done simultaneously. Results: Mean age of study cohort was 30 ±5.75 years. As per VAS, majority felt moderate pain (47.5%) in present study. The presenting symptoms were dysmenorrhoea (45.0%), dyspareunia (17.5%) and chronic pelvic pain (35.5%). Conclusion: Degree of tubal involvement was more in all the women as compared to ovarian involvement. Post-operatively the intensity of the pain subsides.
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Abstract

(English) Aim: To evaluate degree of chronic pelvic pain and degree of adhesion. Materials and Methods: The present clinico-observational study was conducted in the Department of Obstetrics and Gynecology, Nalanda Medical College and Hospital, Patna, Bihar among 40 women diagnosed with endometriosis. Pain intensity was assessed by visual analogue scale (VAS) and categorized as mild, moderate or severe accordingly. This was followed by laparoscopy/ laparotomy and staging of endometriosis which was done as per the American Society for Reproductive Medicine (ASRM) classification system. Corrective procedures were done simultaneously. Results: Mean age of study cohort was 30 ±5.75 years. As per VAS, majority felt moderate pain (47.5%) in present study. The presenting symptoms were dysmenorrhoea (45.0%), dyspareunia (17.5%) and chronic pelvic pain (35.5%). Conclusion: Degree of tubal involvement was more in all the women as compared to ovarian involvement. Post-operatively the intensity of the pain subsides. Files IJPCR,Vol13,Issue6,Article16.pdf Files (131.2 kB) | Name | Size | Download all | |---|---|---| | md5:ec9e9c29183cb0fb2523d6e3f71f4228 | 131.2 kB | Preview Download | Additional details Dates - Accepted - 2021-09-20 Software - Repository URL - http://impactfactor.org/PDF/IJPCR/13/IJPCR,Vol13,Issue6,Article16.pdf - Development Status - Active

References

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Outcome instruments

VAS-pain

Condition tags

endometriosischronic_pelvic_paindysmenorrheadyspareunia

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