Evaluation of laparoscopy results for the patients with chronic pelvic pain

Asena AYAR MADENLİ, Halime Çalı Öztürk
In: Journal of Medicine and Palliative Care · 2022 · vol. 3(4) , pp. 317–321 · doi:10.47582/jompac.1172802 · W4312139121
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-07 ⓘ

This retrospective study evaluated laparoscopy results for 170 patients with chronic pelvic pain, finding a significant association between infertility and laparoscopy findings.

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This paper evaluates laparoscopy outcomes for patients with chronic pelvic pain, synthesizing the diagnostic and result-oriented role of laparoscopic assessment in this population using a high-level review of prior gynecologic laparoscopy studies and related evidence. It emphasizes that laparoscopy is used to evaluate pelvic pathology in cases where chronic pelvic pain persists, and it compiles findings from earlier work including endometriosis diagnostic validation against histology, and incidence estimates of endometriosis among women undergoing laparoscopy for unexplained infertility and chronic pelvic pain. The main limitation is that the provided text contains minimal methodological and outcome detail for this specific paper, relying on included references rather than reporting granular study design parameters or effect sizes. Relevance to endometriosis: endometriosis is cited in the context of laparoscopic diagnosis validation (including surgeon visualization vs histologic findings) and incidence among women prepared for laparoscopy with unexplained infertility and chronic pelvic pain, though the paper’s main focus is evaluation of laparoscopy results in chronic pelvic pain generally.

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Abstract

Aim: The study aims to retrospectively evaluate the laparoscopy results of patients who underwent laparoscopy with chronic pelvic pain (CPPS) diagnosis in two groups of fertile and infertile patients. Material and Method: This retrospective study examined the electronic records of 170 patients who underwent laparoscopy due to CPPS were included in the study. The patients were divided into two groups: the CPPS and unexplained infertility group (n: 87) as the case group and the CPPS fertile group (n: 83) as the control group. Women aged 25-40 years with unexplained infertility and CPPS were included in the study. Results: Results found a statistically significant association between infertility in women and laparoscopy results (p0.05). There was no statistically significant association between women’s infertility and smoking status (p>0.05). Mann-Whitney test did not find a statistically significant association between case and control regarding age and body mass index (BMI) (p>0.05). There was a statistically significant difference between groups in terms of the duration of pain (p
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References

- Abdelsattar AA, Nossir WS, Elsayed YA. Value of laparoscopy in diagnosis of endometriosis in unexplained infertility cases. ZUMJ 2020. doi: 10.21608/zumj.2020.16275.1460 - Gawad Hadwa IMA, Raof Farahat MA, Saeed Dawood AE, Al Ahwal LM. Laparoscopic assessment of the tubo ovarian relationship in unexplained infertility. JAMMR 2022: 34: 86-98. - Argentino GLS, Bueloni-Dias FN, Leite NJ, et al. The role of laparoscopy in the propaedeutics of gynecological diagnosis1. Acta Cir Bras 2019; 34: e20190010000010. - Gokmen Karasu AF, Ates S, Gurbuz T, Sahin N, Takmaz T, Aydin S. A clinico-pathological study of transvaginal endometrial thickness measurement in asymptomatic postmenopausal patients and patients with postmenopausal bleeding. Gynecol Obstet Reprod Med 2019; 25: 85-8. - Raees HB. Critical analysis of laparoscopic diagnosis in gynecology: new era in healthcare. CMRO 2021: 4; 961-6. - El-flahgy MMM, El-Bassioune WM, Ayad WA. Incidence of endometriosis among women prepared for laparoscopy in unexplained infertility and chronic pelvic pain. IJMA 2020: 2; 519-27. - Gratton SM, Choudhry AJ, Vilos GA, et al. Diagnosis of endometriosis at laparoscopy: a validation study comparing surgeon visualization with histologic findings. J Obstet Gynaecol Can 2022; 44: 135-41. - Harris A, McCaughey T, Tsaltas J, et al. Endometriosis-related pelvic pain following laparoscopic surgical treatment. JEPPD 2020; 12: 151-7. Details Primary Language English Subjects Health Care Administration Journal Section Research Article Authors Publication Date December 26, 2022 Submission Date September 23, 2022 Acceptance Date October 31, 2022 Published in Issue Year 2022 Volume: 3 Number: 4

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chronic_pelvic_paininfertility

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