Laparoscopic findings in chronic pelvic pain

Junu Bajracharya, NS Shrestha, Chanda Karki, Rachana Saha
In: Journal of Kathmandu Medical College · 2013 · vol. 1(2) , pp. 100–102 · doi:10.3126/jkmc.v1i2.8146 · W2010499586
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-27 ⓘ

This study analyzed laparoscopic findings in 48 chronic pelvic pain patients, revealing pelvic endometriosis as the most common pathology (55.88%), followed by adhesions (20.58%).

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This descriptive study examined etiologies of chronic pelvic pain in 48 reproductive-age women undergoing diagnostic laparoscopy at Kathmandu Medical College between January 2010 and June 2012, analyzing age, parity, and laparoscopic findings. The mean participant age was 33 years, and laparoscopic findings were negative in 29.17% of cases, while pelvic pathology was present in 70.83%, with endometriosis reported as the most common pathology (55.88%), followed by pelvic adhesions, pelvic congestion, and pelvic inflammatory disease. A limitation explicitly reflected by the study design is that it is observational and restricted to women who underwent laparoscopy, without a stated comparison group or assessment of broader causes. Relevance to endometriosis: endometriosis is identified as the most frequent laparoscopic pelvic pathology among chronic pelvic pain cases, indicating a direct reported association within this study’s findings.

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Abstract

Background: Chronic pelvic pain is a common problem in reproductive age group women. Diagnosis of chronic pelvic pain needs multidisciplinary approach. Diagnostic laparoscopy is one of the investigations which can help in reaching the diagnosis. Objective: To know the etiology in chronic pelvic pain. Methods: This was a descriptive study done in the Department of Obstetrics and Gynaecology of Kathmandu medical college teaching hospital from January 2010 to June 2012 (30 months). All the cases of laparoscopic surgery done for chronic pelvic pain were noted and details of these cases were analyzed regarding age, parity and laparoscopic findings. Results: Total 48 cases of Chronic Pelvic Pain underwent diagnostic laparoscopy during the study period. Mean age of cases were 33 years, ranging from 20-46yrs. Almost half of the cases 43.75% were of parity two. Laparoscopic finding was negative in 29.17% and pelvic pathology was present in 70.83% of the cases. Out of the pelvic pathology endometriosis was present in 55.88% followed by pelvic adhesions, pelvic congestion and pelvic inflammatory disease, chronic ectopic in 20.58%, 14.70%, 5.88%, 2.94% respectively. Conclusion: Diagnostic laparoscopy is a useful modality in the diagnosis of etiology and management of Chronic pelvic pain. In our study, Pelvic endometriosis was the most common pelvic pathology in cases of Chronic pelvic pain. DOI: http://dx.doi.org/10.3126/jkmc.v1i2.8146 Journal of Kathmandu Medical College, Vol. 1, No. 2, Oct.-Dec., 2012: 100-102
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Background

Chronic pelvic pain is a common problem in reproductive age group women. Diagnosis of chronic pelvic pain needs multidisciplinary approach. Diagnostic laparoscopy is one of the investigations which can help in reaching the diagnosis.

Objective

To know the etiology in chronic pelvic pain.

Methods

This was a descriptive study done in the Department of Obstetrics and Gynaecology of Kathmandu medical college teaching hospital from January 2010 to June 2012 (30 months). All the cases of laparoscopic surgery done for chronic pelvic pain were noted and details of these cases were analyzed regarding age, parity and laparoscopic findings.

Results

Total 48 cases of Chronic Pelvic Pain underwent diagnostic laparoscopy during the study period. Mean age of cases were 33 years, ranging from 20-46yrs. Almost half of the cases 43.75% were of parity two. Laparoscopic finding was negative in 29.17% and pelvic pathology was present in 70.83% of the cases. Out of the pelvic pathology endometriosis was present in 55.88% followed by pelvic adhesions, pelvic congestion and pelvic inflammatory disease, chronic ectopic in 20.58%, 14.70%, 5.88%, 2.94% respectively.

Conclusion

Diagnostic laparoscopy is a useful modality in the diagnosis of etiology and management of Chronic pelvic pain. In our study, Pelvic endometriosis was the most common pelvic pathology in cases of Chronic pelvic pain. DOI: http://dx.doi.org/10.3126/jkmc.v1i2.8146 Journal of Kathmandu Medical College, Vol. 1, No. 2, Oct.-Dec., 2012: 100-102 Downloads Downloads Published How to Cite Issue Section License Copyright © Journal of Kathmandu Medical College The ideas and opinions expressed by authors or articles summarized, quoted, or published in full text in this journal represent only the opinions of the authors and do not necessarily reflect the official policy of Journal of Kathmandu Medical College or the institute with which the author(s) is/are affiliated, unless so specified. Authors convey all copyright ownership, including any and all rights incidental thereto, exclusively to JKMC, in the event that such work is published by JKMC. JKMC shall own the work, including 1) copyright; 2) the right to grant permission to republish the article in whole or in part, with or without fee; 3) the right to produce preprints or reprints and translate into languages other than English for sale or free distribution; and 4) the right to republish the work in a collection of articles in any other mechanical or electronic format.

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Condition tags

endometriosischronic_pelvic_pain

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References (14)

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