Laparoscopic Evaluation of Chronic Pelvic Pain in Women

Sunit Chhetri, Subhash Khanna, A Poonam, B Sen
In: Journal of Nepal Health Research Council · 1970 · vol. 7(1) , pp. 45–48 · doi:10.3126/jnhrc.v7i1.2279 · W1966751659
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⚙ AI-generated summary by claude@2026-06, 2026-06-13 ⓘ

Diagnostic laparoscopy identified pathology in 81.8% of women with chronic pelvic pain, detecting adhesions, PID, and endometriosis more often than ultrasonography.

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This descriptive hospital-based study evaluated 55 women with chronic pelvic pain lasting more than six months using ultrasonography, diagnostic laparoscopy, and psychological assessment with the Self Reporting Questionnaire (SRQ) to characterize possible causes. Ultrasonography detected abnormalities in 38.2% of patients, while diagnostic laparoscopy detected pathology in 81.8%, with pelvic adhesions the most common finding (29%), followed by PID (12.7%) and endometriosis (9.1%) among other etiologies. The study reported psychological illness in 43.6% of participants and found no abnormality on laparoscopy in 18.2%, with the small single-center sample and lack of details on diagnostic criteria limiting interpretability. Relevance to endometriosis: endometriosis is specifically reported as a laparoscopic finding (5/55, 9.1%) in this chronic pelvic pain evaluation, though the paper’s main focus is diagnostic yield of laparoscopy versus ultrasonography across multiple causes.

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Abstract

Background: Chronic pelvic pain is a common and significant disorder of women. Often the etiology of chronic pelvic pain is not clear. Methods: A descriptive hospital based study was done which included 55 women with chronic pelvic pain of more than six months duration. Ultrasonography and diagnostic laparoscopy were performed in all patients. These patients also had a psychological assessment with the SRQ (Self Reporting Questionnaire). The various causes of pelvic pain were assessed. Result: The mean age of women presenting with chronic pelvic pain was 37.1 ± 2.3 years. Ultrasonography detected abnormality in only 21 (38.2%) patients. The most common pathology detected was ovarian cysts in seven patients. Diagnostic laparoscopy was able to detect pathology in 45 (81.8%) patients. Pelvic adhesions was the most common cause of chronic pelvic pain which was present in 16 (29%) of the women, followed by PID (pelvic inflammatory disease) in seven (12.7%), endometriosis in five (9.1%), pelvic congestion in four (7.2%), pelvic tuberculosis in four (7.2%), fibroid uterus in four (7.2%), ovarian cysts in four (7.2%) and parafimbrial cyst in one patient. No abnormality on laparoscopy was detected in 10 (18.2%) patients. When evaluated for associated psychological illness it was detected in 24 (43.6%) patients. Results: Chronic pelvic pain is a common problem and presents a major challenge to health care providers because of its unclear etiology, complex natural history, and poor response to therapy. Diagnostic laparoscopy is thus an important tool in the evaluation of women with chronic pelvic pain. Key words: chronic pelvic pain, laparoscopy, ultrasonography. DOI: 10.3126/jnhrc.v7i1.2279 Journal of Nepal Health Research Council Vol. 7, No. 1, 2009 April 45-48
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Keywords

chronic pelvic pain, laparoscopy, ultrasonographyAbstract

Background

Chronic pelvic pain is a common and significant disorder of women. Often the etiology of chronic pelvic pain is not clear.

Methods

A descriptive hospital based study was done which included 55 women with chronic pelvic pain of more than six months duration. Ultrasonography and diagnostic laparoscopy were performed in all patients. These patients also had a psychological assessment with the SRQ (Self Reporting Questionnaire). The various causes of pelvic pain were assessed.

Result

The mean age of women presenting with chronic pelvic pain was 37.1 ± 2.3 years. Ultrasonography detected abnormality in only 21 (38.2%) patients. The most common pathology detected was ovarian cysts in seven patients. Diagnostic laparoscopy was able to detect pathology in 45 (81.8%) patients. Pelvic adhesions was the most common cause of chronic pelvic pain which was present in 16 (29%) of the women, followed by PID (pelvic inflammatory disease) in seven (12.7%), endometriosis in five (9.1%), pelvic congestion in four (7.2%), pelvic tuberculosis in four (7.2%), fibroid uterus in four (7.2%), ovarian cysts in four (7.2%) and parafimbrial cyst in one patient. No abnormality on laparoscopy was detected in 10 (18.2%) patients. When evaluated for associated psychological illness it was detected in 24 (43.6%) patients.

Results

Chronic pelvic pain is a common problem and presents a major challenge to health care providers because of its unclear etiology, complex natural history, and poor response to therapy. Diagnostic laparoscopy is thus an important tool in the evaluation of women with chronic pelvic pain. Key words: chronic pelvic pain, laparoscopy, ultrasonography. DOI: 10.3126/jnhrc.v7i1.2279 Journal of Nepal Health Research Council Vol. 7, No. 1, 2009 April 45-48 Downloads Downloads How to Cite Issue Section License Submission of the manuscript means that the authors agree to assign exclusive copyright to JNHRC. The aim of JNHRC is to increase the visibility and ease of use of open access scientific and scholarly articles thereby promoting their increased usage and impact. Hence, JNHRC grants permission to read, download, copy, distribute, print, search, or link to the full texts of these articles which is available online (http://jnhrc.com.np) freely. The articles in this journal are licensed under a Creative Commons Attribution 4.0 International License.

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endometriosischronic_pelvic_pain

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