Role of diagnostic laparoscopy in chronic pelvic pain

Pushpa Bhatia, Pratiksha Gupta, Devika Mor
In: International Journal of Reproduction, Contraception, Obstetrics and Gynecology · 2016 · pp. 1152–1157 · doi:10.18203/2320-1770.ijrcog20160875 · W2320442897
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

Diagnostic laparoscopy revealed pathological findings in 74.55% of women with chronic pelvic pain, significantly more than the 39.99% found via USG.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-13 · read from full text ⓘ

This prospective study evaluated the role of diagnostic laparoscopy for women with chronic pelvic pain (≥6 months) by comparing findings in 55 cases undergoing laparoscopy for pain with 55 asymptomatic controls undergoing laparoscopic sterilization. It reports that while clinical and ultrasound findings showed differences, laparoscopy revealed normal findings in only 25.45% of the chronic pelvic pain group, with this difference reaching statistical significance (P=0.04). It also found that normal findings were seen in 60% on ultrasound versus 25.14% on laparoscopy (p<0.05), supporting that laparoscopy can detect findings not evident clinically or on USG. The paper’s key limitation is its relatively small sample size and that it enrolled a control group selected for sterilization rather than chronic pelvic pain comparison. Relevance to endometriosis: the study focuses on diagnostic laparoscopy in chronic pelvic pain but does not explicitly discuss endometriosis or adenomyosis in the provided text; it was included in the corpus via keyword match.

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Abstract

Background: Laparoscopy in chronic pelvic pain can reveal findings that cannot be detected clinically, so it can be treated and diagnosed at same sitting. This study was undertaken to evaluate role of diagnostic laparoscopy in chronic pelvic pain.Methods: It was a prospective study conducted at department of Obstetrics and Gynecology, ESI PGIMSR, Basaidarapur, New Delhi. The study was carried out from 2012- 2014. Total 110 cases were enrolled. 55 cases who had been suffering from chronic pelvic pain for ≥6 months were taken as study group (A). 55 cases without any symptoms that underwent laparoscopic sterilization were taken as control group (B). Results were statistically analyzed using Karl Pearson's correlation coefficient.Results: Chronic pelvic pain whereas on laparoscopy normal finding were seen only in 25.45% cases. This difference was found to be statistically significance (P value 0.04). Normal findings were seen in 60% cases of chronic pelvic pain on USG as compared to 25.14% cases on laparoscopy was statistically significant .( p value <0.05.)Conclusions: Laparoscopy is a gold standard tool in evaluation of women with chronic pelvic pain, because diagnosis and often treatment can be accomplished in one sitting, without subjecting them to exploratory laparotomy.
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Background

Laparoscopy in chronic pelvic pain can reveal findings that cannot be detected clinically, so it can be treated and diagnosed at same sitting. This study was undertaken to evaluate role of diagnostic laparoscopy in chronic pelvic pain.

Methods

It was a prospective study conducted at department of Obstetrics and Gynecology, ESI PGIMSR, Basaidarapur, New Delhi. The study was carried out from 2012- 2014. Total 110 cases were enrolled. 55 cases who had been suffering from chronic pelvic pain for ≥6 months were taken as study group (A). 55 cases without any symptoms that underwent laparoscopic sterilization were taken as control group (B). Results were statistically analyzed using Karl Pearson's correlation coefficient.

Results

Chronic pelvic pain whereas on laparoscopy normal finding were seen only in 25.45% cases. This difference was found to be statistically significance (P value 0.04). Normal findings were seen in 60% cases of chronic pelvic pain on USG as compared to 25.14% cases on laparoscopy was statistically significant .( p value <0.05.)

Conclusions

Laparoscopy is a gold standard tool in evaluation of women with chronic pelvic pain, because diagnosis and often treatment can be accomplished in one sitting, without subjecting them to exploratory laparotomy.Metrics

References

Howard FM. The role of laparoscopy as a diagnostic tool in chronic pelvic pain. Baillieres Best Pract Res Clin Obstet Gynaecol. 2000;14(3):467-94. Papathanasiou K, Papageorgiou C, Panidis D, Mantalenakis S. Our experience in laparoscopic diagnosis and management in women with chronic pelvic pain. Clin Exp Obstet Gynecol. 1999;26(3-4):190-2. Lamvu G, Tu F, As-Sanie S, Zolnoun D, Steege JF. The role of laparoscopy in the diagnosis and treatment of conditions associated with chronic pelvic pain. Obstet Gynecol Clin North Am. 2004;31(3):619-30. Demir F, Ozcimen EE, Oral HB. The role of gynecological, urological, and psychiatric factors in chronic pelvic pain. Arch Gynecol Obstet. 2012;286(5):1215-20. Renaer M. Chronic pelvic pain in women, p l. New York:Springer-Verlag. 1981. Zúbor P, Szunyogh N, Galo S, Biringer K, Dókus K, Visnovský J. [Laparoscopy in chronic pelvic pain--a prospective clinical study]. Ceska Gynekol. 2005;70(3):225-31. Hebbar S, Chawla C. Role of laparoscopy in evaluation of chronic pelvic pain. J Minim Access Surg. 2005;1(3):116-20. Duffy DM, diZerega GS. Adhesion controversies: pelvic pain as a cause of adhesions, crystalloids in preventing them. J Reprod Med. 1996;41(1):19-26. Kang SB, Chung HH, Lee HP, Lee JY, Chang YS. Impact of diagnostic laparoscopy on the management of chronic pelvic pain. Surg Endosc. 2007;21(6):916-9. Mettler L, Alhujeily M. Role of laparoscopy in identifying the clinical significance and cause of adhesions and chronic pelvic pain: a retrospective review at the Kiel School of Gynecological Endoscopy. JSLS. 2007;11(3):303-8. Fuller J, Ashar BS, Carey-Corrado J. Trocar-associated injuries and fatalities: an analysis of 1399 reports to the FDA. J Minim Invasive Gynecol. 2005;12(4):302-7. Gogate A, Brabin L, Nicholas S, Gogate S, Gaonkar T, Naidu A, et al. Risk factors for laparoscopically confirmed pelvic inflammatory disease: findings from Mumbai (Bombay), India. Sex Transm Infect. 1998;74(6):426-32. Eftekhar M, Soheila P, Zadeh LM. Coexisting pelvic tuberculosis and endometriosis presenting in an infertile woman: Report of a rare case. Iran J Reprod Med. 2014;12(6):439-41. Avan BI, Fatmi Z, Rashid S. Comparison of clinical and laparascopic features of infertile women suffering from genital tuberculosis (TB) or pelvic inflammatory disease (PID) or endometriosis. J Pak Med Assoc. 2001;51(11):393-9. Jaiyeoba O, Soper DE. A practical approach to the diagnosis of pelvic inflammatory disease. Infect Dis Obstet Gynecol. 2011;2011:753037.

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