Diagnostic laparoscopy findings in pelvic pain among the women attending Gynecology OPD at Dhulikhel Hospital

Arun Kumar Yadav, Suman Raj Tamrakar
In: Nepal Journal of Obstetrics and Gynaecology · 2022 · vol. 16(2) , pp. 79–84 · doi:10.3126/njog.v16i2.42110 · W4285299780
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⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

This study evaluated diagnostic laparoscopy findings in women with pelvic pain, identifying normal findings in 41.7% and pelvic inflammatory disease, endometriosis, and adhesions as common pathologies.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-10 · read from full text ⓘ

This prospective study evaluated laparoscopic findings among women with pelvic pain attending gynecology outpatients at Dhulikhel Hospital from March 2017 to December 2018, including ultrasound evaluation and diagnostic laparoscopy, with data analyzed descriptively in SPSS 23. Most participants were aged 21–30 years, had a mean pain duration of 16.48±4 months, and the most common complaints were dysmenorrhea (33.3%) and abnormal vaginal discharge (31.7%). Laparoscopy showed normal findings in 41.7% of cases, with pelvic inflammatory disease (19.2%) and endometriosis (17.5%) among the most frequent abnormal results; other findings included pelvic adhesions (12.5%) and a small proportion of PCOS and pelvic congestion (1.7% each). The paper does not present major caveats such as sample size justification or comparative effectiveness, but it is limited to descriptive findings from a single hospital cohort. This paper is centrally about endometriosis — it reports endometriosis as the second most common laparoscopic diagnosis among women with chronic pelvic pain.

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Abstract

Aims: To evaluate the laparoscopic findings in women with pelvic pain. Methods: A prospective study conducted in Department of Obstetrics and Gynecology at Dhulikhel Hospital from March 2017 to December 2018. All women with pelvic pain, ultrasound evaluation and laparoscopic procedure at the hospital were taken. Data entered in SPSS 23 and analyzed using descriptive parameters. Results: Maximum number of cases of pelvic pain belonged to 21-30 years, most of them were parous with mean duration of pain of 16.48±4 months. The mean age and parity of the patients was 34±5 years and 1.74 respectively. The most common complaint was dysmenorrhea (33.3%) followed by abnormal vaginal discharge (31.7%). On clinical examination, pelvic tenderness was observed in majority (21.7%) of cases. On laparoscopic examination, normal finding were seen in 41.7% cases followed by pelvic inflammatory disease (19.2%), endometriosis (17.5%), pelvic adhesion (12.5%), retroverted uterus (2.5%). PCOS, pelvic congestion and fimbrial cyst were seen in 1.7% each. Pyosalphinx and twisted ovary were seen in 0.8% each. Conclusions: Laparoscopy serves as diagnostic as well as a therapeutic modality of management in chronic pelvic pain.
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Keywords

clinical examination, diagnostic laparoscopy, pelvic pain, ultrasonographyAbstract Aims: To evaluate the laparoscopic findings in women with pelvic pain.

Methods

A prospective study conducted in Department of Obstetrics and Gynecology at Dhulikhel Hospital from March 2017 to December 2018. All women with pelvic pain, ultrasound evaluation and laparoscopic procedure at the hospital were taken. Data entered in SPSS 23 and analyzed using descriptive parameters.

Results

Maximum number of cases of pelvic pain belonged to 21-30 years, most of them were parous with mean duration of pain of 16.48±4 months. The mean age and parity of the patients was 34±5 years and 1.74 respectively. The most common complaint was dysmenorrhea (33.3%) followed by abnormal vaginal discharge (31.7%). On clinical examination, pelvic tenderness was observed in majority (21.7%) of cases. On laparoscopic examination, normal finding were seen in 41.7% cases followed by pelvic inflammatory disease (19.2%), endometriosis (17.5%), pelvic adhesion (12.5%), retroverted uterus (2.5%). PCOS, pelvic congestion and fimbrial cyst were seen in 1.7% each. Pyosalphinx and twisted ovary were seen in 0.8% each.

Conclusions

Laparoscopy serves as diagnostic as well as a therapeutic modality of management in chronic pelvic pain. Downloads Downloads Published How to Cite Issue Section License Copyright (c) 2022 Arun Yadav, Suman Raj Tamrakar This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. Copyright on any research article in the Nepal Journal of Obstetrics and Gynaecology is retained by the author(s). The authors grant the Nepal Journal of Obstetrics and Gynaecology a license to publish the article and identify itself as the original publisher. Articles in the Nepal Journal of Obstetrics and Gynaecology are Open Access articles published under the Creative Commons CC BY-NC License (https://creativecommons.org/licenses/by-nc/4.0/) This license permits use, distribution and reproduction in any medium, provided the original work is properly cited, and it is not used for commercial purposes.

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Condition tags

endometriosischronic_pelvic_paindysmenorrhea

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