New insights into the old problem of chronic pelvic pain

Donald P. Goldstein, D P Goldstein, Goldstein DP, C deCholnoky, Corrine deCholnoky, deCholnoky C, J M Leventhal, John M. Leventhal, Leventhal JM, S. Jean Emans, S J Emans
Journal of pediatric surgery · 1979 · vol. 14(6) , pp. 675–680 · doi:10.1016/s0022-3468(79)80243-2 · PMID:162146 · W1981984152
article OA: closed CC0 ⤵ 45 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

This paper provides new insights into the long-standing problem of chronic pelvic pain by reviewing recent findings and potential therapeutic targets.

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Abstract

Between July, 1974 and February, 1979, 109 adolescent girls, ranging in age from 10 1/2 to 19 yr. with unexplained chronic pelvic pain, underwent diagnostic laparoscopy. Endometriosis was the most common finding occurring in 49 patients (45%), followed by postoperative adhesions in 17 patients (16%) and congenital abnormalities of the uterus in 10 patients (9%). Other important causes were chronic pelvic inflammatory disease with peritubal and periovarian adhesions in 9%, chronic hemoperitoneum in 5%, functional ovarian cysts in 5%, and uterine serositis in 2%. No pathology could be seen in 10 patients (9%). Analysis of the presenting symptoms and physical findings revealed in most instances that the presence of significant pelvic pathology as a cause of the chronic pelvic pain was predictable and had been previously misdiagnosed. Intraoperative and postoperative management of the major problems encountered stress the importance of conservative surgery and the need for long-term follow-up.

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Condition tags

chronic_pelvic_pain

MeSH descriptors

Genital Diseases, Female Pain Pelvic Inflammatory Disease Pelvis Adolescent Child Chronic Disease Diagnosis, Differential Female Genital Diseases, Female Humans Laparoscopy Laparotomy Pain Pelvic Inflammatory Disease

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References (6)

Cited by (45)

Source provenance

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License: CC0 · commercial use OK