The role of gynecological, urological, and psychiatric factors in chronic pelvic pain

Fuat Demir, Emel Ebru Özçimen, Hilmi Baha Oral
In: Archives of Gynecology and Obstetrics · 2012 · vol. 286(5) , pp. 1215–1220 · doi:10.1007/s00404-012-2443-y · PMID:22763924 · W2048802388
article OA: closed CC0 ⤵ 11 in-corpus citations
Full text JSON View on OpenAlex View on PubMed View at publisher
⚙ AI-generated summary by claude@2026-07, 2026-07-25 ⓘ

This study evaluated diagnostic laparoscopy in 44 chronic pelvic pain patients and 31 controls, finding significantly more pathological laparoscopic findings in the pain group.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

Abstract

AimIn this study, the effectiveness of diagnostic laparoscopy, one of the methods used in the diagnosis and treatment of chronic pelvic pain, was investigated by the etiological examination of patients with chronic pelvic pain, who were treated and followed up on our clinic, allowing for gynecological, urological, and psychological factors.Materials and methodsIn this study, the importance of diagnostic laparoscopy in chronic pelvic pain was assessed in 44 patients diagnosed with chronic pelvic pain between September 2005 and May 2006. Additionally, the records of 31 patients who did not have pelvic pain and on whom laparoscopy was performed due to tubal ligation at the same time were assessed.FindingsThe study group and the control group were compared in terms of laparoscopic findings. There were laparoscopic findings in 38 (86 %) of the 44 patients in the study group and pathological findings in 13 (41 %) of the 31 patients in the control group. Differences between the groups were statistically significant (p < 0.05).ResultChronic pelvic pain is a syndrome in which biological and psychosocial factors play a role. Laparoscopy for chronic pelvic pain is an operation based on the "see and fight" principle.
Full text 5,102 characters · extracted from oa-doi-fallback · 4 sections · click to expand

Abstract

Aim In this study, the effectiveness of diagnostic laparoscopy, one of the methods used in the diagnosis and treatment of chronic pelvic pain, was investigated by the etiological examination of patients with chronic pelvic pain, who were treated and followed up on our clinic, allowing for gynecological, urological, and psychological factors.

Materials and methods

In this study, the importance of diagnostic laparoscopy in chronic pelvic pain was assessed in 44 patients diagnosed with chronic pelvic pain between September 2005 and May 2006. Additionally, the records of 31 patients who did not have pelvic pain and on whom laparoscopy was performed due to tubal ligation at the same time were assessed. Findings The study group and the control group were compared in terms of laparoscopic findings. There were laparoscopic findings in 38 (86 %) of the 44 patients in the study group and pathological findings in 13 (41 %) of the 31 patients in the control group. Differences between the groups were statistically significant (p < 0.05).

Result

Chronic pelvic pain is a syndrome in which biological and psychosocial factors play a role. Laparoscopy for chronic pelvic pain is an operation based on the “see and fight” principle. Similar content being viewed by others

References

Rock JA, Jones HW (2008) Te Linde’s operative gynecology, 10th edn. Lippincott Williams & Wilkins V:29:648 Kresch AJ, Kresch SB (1976) Sexual problems in gynecology patients: guidelines for office practice. Clin Obstet Gynecol 19(2):465–472 Kresch AJ, Seifer DB, Sachs LB, Barrese I (1984) Laparoscopy in 100 women with chronic pelvic pain. Obstet Gynecol 64(5):672–674 William IL, Jack EW, John EM (1972) Laparoscopy in evaluation of pelvic pain. Obstet Gynecol 39:767–770 Gunter J (2003) Chronic pelvic pain: an integrated approach to diagnosis and treatment. Obstet Gynecol Surv 58(9):615–623 Onders RP, Mittendorf EA (2003) Utility of laparoscopy in chronic abdominal pain. Surgery 134(4):549–552 Howard FM (1993) The role of laparoscopy in the evaluation of chronic pelvic pain: promise and pitfalls. Obstet Gynecol Surv 48(6):357–387 Rawson JM (1991) Prevalence of endometriosis in asymptomatic women. J Reprod Med 36(7):513–515 Moen MH (1995) Why do women develop endometriosis and is it diagnosed? Hum Reprod 10(1):8–11 Martin DC, Ling FW (1999) Endometriosis and pelvic pain. Clin Obstet Gynecol 42(3):664–686 Mahmood TA, Templeton AA, Thomson L, Fraser C (1991) Menstrual symptoms in women with pelvic endometriosis. Br J Obstet Gynaecol 98(6):558–563 Buttram VC, Reiter RC (1985) Surgical treatment of the infertile female. Williams & Wilkins, Baltimore, p 95 Perper MM, Nezhat F, Goldstein H, Nezhat CH, Nezhat C (1995) Dysmenorrhea is related to the number of implants in endometriosis patients. Fertil Steril 63(3):500–503 Walling MK, O’Hara MW, Reiter RC, Milburn AK, Lilly G, Vincent SD (1994) Abuse history and chronic pain in women II: multivariate analysis of abuse and psychological morbidity. Obstet Gynecol 84(2):200–206 Sutton CJG, Even SP, Whitelaw N, Haines P (1994) Prospective, randomised, double-blind, controlled trial of laser laparoscopy in the treatment of pelvic pain associated with minimal, mild, and moderate endometriosis. Fertil Steril 62(4):696–700 Clemons JL, Arya LA, Myers DL (2002) Diagnosing interstitial cystitis in women with chronic pelvic pain. Obstet Gynecol 100(2):337–341 Parsons CL, Bullen M, Kahn BS, Stanford EJ, Willems JJ (2001) Gynecologic presentation of interstitial cystitis as detected by intravesical potassium sensitivity. Obstet Gynecol 98(1):127–132 Stanford EJ, Koziol J, Feng A (2005) The prevalence of interstitial cystitis, endometriosis, adhesions, and vulvar pain in women with chronic pelvic pain. J Minim Invasive Gynecol 12(1):43–49 Wu EQ, Birnbaum H, Mareva M, Parece A, Huang Z, Mallett D, Taitel H (2006) Interstitial cystitis: cost, treatment and co-morbidities in an employed population. Pharmacoeconomics 24(1):55–65 Rabin C, O’Leary A, Neighbors C, Whitmore K (2000) Pain and depression experienced by women with interstitial cystitis. Women Health 31(4):67–81 Neis KJ, Neis F (2009) Chronic pelvic pain: cause, diagnosis and therapy from a gynaecologist’s and an endoscopist’s point of view. Gynecol Endocrinol 25(11):757–761 Reiter RC (1990) Occult somatic pathology in women with chronic pelvic pain. Clin Obstet Gynecol 33(1):154–160 Singh N, Rashid M, Herath RP (2011) How can we reduce negative laparoscopies for pelvic pain? J Obstet Gynecol 31(1):62–68 Ledger WL (2003) Laparoscopy for investigation of pelvic pain: new approaches? Curr Opin Obstet Gynecol 15(3):257–258 Conflict of interest None. Author information Authors and Affiliations Corresponding author Rights and permissions About this article Cite this article Demir, F., Ozcimen, E.E. & Oral, H.B. The role of gynecological, urological, and psychiatric factors in chronic pelvic pain. Arch Gynecol Obstet 286, 1215–1220 (2012). https://doi.org/10.1007/s00404-012-2443-y Received: Accepted: Published: Issue date: DOI: https://doi.org/10.1007/s00404-012-2443-y

Text is read by the "Ask this paper" AI Q&A widget below. Extraction quality varies by source — PMC NXML preserves structure cleanly, OA-HTML may include some navigation residue, and OA-PDF can have broken hyphenation. The publisher copy (via DOI) is the canonical version.

My notes (saved in your browser only)

⚙ Ask this paper AI returns verbatim quotes from the full text · source: oa-doi-fallback ⓘ

Answers must be backed by verbatim quotes from this paper's full text. Hallucinated quotes are dropped automatically; if no verbatim passage answers the question, we say so. How this works

Condition tags

chronic_pelvic_pain

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (26)

Cited by (11)

Source provenance

openalex
last seen: 2026-06-10T17:14:06.276822+00:00
unpaywall
last seen: 2026-07-29T07:08:50.896093+00:00
License: CC0 · commercial use OK