Role of Diagnostic Laparoscopy in Chronic Pelvic Pain

Abstract

Introduction: Chronic pelvic pain is non cyclic pain of six or more months duration that localizes to the

anatomical pelvis, anterior abdominal pain at or below umbilicus, the lumbosacral back, or the buttocks, and

is of sufficient severity to cause functional disability or lead to medical care1.Chronic pelvic pain is one of

the most common gynecological symptoms and one of the most important in terms of social costs

Objective: To study the role of diagnostic laparoscopy in chronic pelvic pain. To compare the findings of

laparoscopy in patients of chronic pelvic pain and patients undergoing routine laparoscopic tubal ligation.

Materials and Method: This study was conducted at Saraswathi institute of medical sciences(HAPUR,U.P)

during the period between January 2018 to December 2019. Total 110 cases were enrolled.55 cases whohad

been suffering from chronic pelvic pain for 6 months (or more) were taken as study group-(A).55cases

without any symptoms who underwent laparoscopic sterilization were taken as control group-(B).

Results: 10.60% cases with chronic pelvic pain had normal findings whereas 25.25% cases were normal on

laparoscopy. Endometriosis was suspected in 7.27% cases on ultrasonography, where as it was confirmed

on laparoscopy in 18.1%.Similarly PID was suspected in 12.72% cases whereas it was confirmed on

laparoscopy in14.54% cases.

Conclusion: In our study we could conclude that the treatment of cases of chronic pelvic pain post diagnostic

laparoscopy are adhesiolysis, endometriotic cyst removal, Ovarian Cystectomy and Hydrosalpinx.