Role of Diagnostic Laparoscopy in Chronic Pelvic Pain

Imreen Jamal
In: Indian Journal of Public Health Research & Development · 2020 · doi:10.37506/ijphrd.v11i7.10104 · W3165294833
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

Diagnostic laparoscopy confirmed endometriosis, pelvic inflammatory disease, and other conditions in patients with chronic pelvic pain, guiding treatments like adhesiolysis and cyst removal.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 · read from full text ⓘ

This study evaluated the role of diagnostic laparoscopy in 110 women at a single center, comparing laparoscopic findings between 55 patients with chronic pelvic pain for at least 6 months and 55 asymptomatic women undergoing routine laparoscopic tubal ligation as controls. Laparoscopy showed normal findings in 10.60% of the chronic pelvic pain group versus 25.25% of controls, while endometriosis was suspected by ultrasonography in 7.27% but confirmed by laparoscopy in 18.1%; PID showed similar discrepancy (suspected 12.72%, confirmed 14.54%). The paper’s stated limitation is that it is a single-center, relatively small study (110 cases) over 2 years, which constrains generalizability, and it does not provide blinding or longitudinal outcome data beyond listing post-laparoscopy treatment actions. Relevance to endometriosis: the study specifically reports endometriosis being suspected on ultrasonography and confirmed at diagnostic laparoscopy in the chronic pelvic pain cohort.

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Abstract

Introduction: Chronic pelvic pain is non cyclic pain of six or more months duration that localizes to the anatomical pelvis, anterior abdominal pain at or below umbilicus, the lumbosacral back, or the buttocks, and is of sufficient severity to cause functional disability or lead to medical care1.Chronic pelvic pain is one of the most common gynecological symptoms and one of the most important in terms of social costs Objective: To study the role of diagnostic laparoscopy in chronic pelvic pain. To compare the findings of laparoscopy in patients of chronic pelvic pain and patients undergoing routine laparoscopic tubal ligation. Materials and Method: This study was conducted at Saraswathi institute of medical sciences(HAPUR,U.P) during the period between January 2018 to December 2019. Total 110 cases were enrolled.55 cases whohad been suffering from chronic pelvic pain for 6 months (or more) were taken as study group-(A).55cases without any symptoms who underwent laparoscopic sterilization were taken as control group-(B). Results: 10.60% cases with chronic pelvic pain had normal findings whereas 25.25% cases were normal on laparoscopy. Endometriosis was suspected in 7.27% cases on ultrasonography, where as it was confirmed on laparoscopy in 18.1%.Similarly PID was suspected in 12.72% cases whereas it was confirmed on laparoscopy in14.54% cases. Conclusion: In our study we could conclude that the treatment of cases of chronic pelvic pain post diagnostic laparoscopy are adhesiolysis, endometriotic cyst removal, Ovarian Cystectomy and Hydrosalpinx.
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Introduction

Chronic pelvic pain is non cyclic pain of six or more months duration that localizes to the anatomical pelvis, anterior abdominal pain at or below umbilicus, the lumbosacral back, or the buttocks, and is of sufficient severity to cause functional disability or lead to medical care1.Chronic pelvic pain is one of the most common gynecological symptoms and one of the most important in terms of social costs

Objective

To study the role of diagnostic laparoscopy in chronic pelvic pain. To compare the findings of laparoscopy in patients of chronic pelvic pain and patients undergoing routine laparoscopic tubal ligation.

Materials

and Method: This study was conducted at Saraswathi institute of medical sciences(HAPUR,U.P) during the period between January 2018 to December 2019. Total 110 cases were enrolled.55 cases whohad been suffering from chronic pelvic pain for 6 months (or more) were taken as study group-(A).55cases without any symptoms who underwent laparoscopic sterilization were taken as control group-(B).

Results

10.60% cases with chronic pelvic pain had normal findings whereas 25.25% cases were normal on laparoscopy. Endometriosis was suspected in 7.27% cases on ultrasonography, where as it was confirmed on laparoscopy in 18.1%.Similarly PID was suspected in 12.72% cases whereas it was confirmed on laparoscopy in14.54% cases.

Conclusion

In our study we could conclude that the treatment of cases of chronic pelvic pain post diagnostic laparoscopy are adhesiolysis, endometriotic cyst removal, Ovarian Cystectomy and Hydrosalpinx.

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Condition tags

endometriosischronic_pelvic_pain

Citation neighborhood

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References (8)

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