Laparoscopy in the management of women with chronic pelvic pain

S A al-Suleiman, Suleiman A. Al‐Suleiman
The Australian & New Zealand journal of obstetrics & gynaecology · 1991 · vol. 31(1) , pp. 63–65 · doi:10.1111/j.1479-828x.1991.tb02768.x · PMID:1831347 · W1977848581
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This study evaluated 232 women with chronic pelvic pain, finding a poor correlation between preoperative pelvic exams and laparoscopy findings, with laparoscopy identifying significant pelvic pathology in many patients.

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Abstract

A review of 232 women who had diagnostic laparoscopy for chronic pelvic pain was undertaken. Diagnostic error in the preoperative pelvic examination in the series varied from 21% to 61%; of 135 patients who had normal pelvic examination findings preoperatively, 82 (61%) were found to have pelvic pathology on diagnostic laparoscopy, whereas 21 of 97 women (21.6%) who had abnormal pelvic examination, had normal findings on laparoscopy. The overall incidence of pelvic pathology in the series was found to be 69%. Our results suggest that there is poor correlation between findings of pelvic examination and the existence of pelvic disease. Laparoscopy has a definite place in the evaluation of patients with chronic pelvic pain and certainly justifies its increasing use in their management.

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Condition tags

endometriosischronic_pelvic_pain

MeSH descriptors

Genital Diseases, Female Laparoscopy Pain Adolescent Adult Chronic Disease Female Genital Diseases, Female Humans Middle Aged Pain

Citation neighborhood (2-hop)

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References (11)

Cited by (1)

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