Laparoscopic and Psychologic Evaluation of Women with Chronic Pelvic Pain

Holly E. Richter, Robert L. Holley, Shambhavi Chandraiah, R. Edward Varner
In: The International Journal of Psychiatry in Medicine · 1998 · vol. 28(2) , pp. 243–253 · doi:10.2190/a2k2-g7j5-mnbq-bnde · PMID:9724892 · W2116982523
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This study compared the long-term physical and psychological outcomes of women with chronic pelvic pain who underwent laparoscopy, finding no significant differences between those with positive or negative findings.

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Abstract

OBJECTIVE: Pelvic pain can account for up to 40 percent of laparoscopies performed by gynecologists. This report compares the psychological profiles and efficacy of laparoscopic surgery at long-term follow-up in a series of laparoscopy-positive and laparoscopy-negative patients with chronic pelvic pain. METHOD: A retrospective chart review was performed on patients diagnosed with chronic pelvic pain combined with postoperative written questionnaires and self-rating scales. These questionnaires were used to assess long-term post laparoscopy follow-up of the physical and psychological status of women with positive findings at laparoscopy compared to those women with negative findings. RESULTS: There were no statistically significant demographic differences between respondents and nonrespondents. In the respondents, no statistically significant differences were noted even with long-term follow-up when comparing responses of the laparoscopy-positive and laparoscopy-negative groups on the above questionnaires. CONCLUSION: Though reporting modest improvement in pelvic pain since laparoscopy, both groups reported a high incidence of anxiety, depression, physical worries, and marital/sexual problems.

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chronic_pelvic_pain

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