The Role of Diagnostic Laparoscopy in Chronic Pelvic Pain

J. Abid, Israa Hashim Abid Al-Karim, Waleed Qahtan Rajab
In: Al-Kitab Journal for Pure Sciences · 2021 · vol. 4(2) , pp. 39–49 · doi:10.32441/kjps.04.02.p4 · W3172930714
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

Exploratory laparoscopy diagnosed 90% of chronic pelvic pain patients, significantly improving diagnosis over clinical examination and ultrasound, with 70% experiencing symptom relief after surgical correction.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-09 · read from full text ⓘ

This prospective study evaluated the role of diagnostic laparoscopy in women with chronic pelvic pain (30 patients, ACOG criteria, recruited from a gynecology department), and assessed how laparoscopy findings correlated with clinical examination and transvaginal ultrasound (TVS). Across 90% of participants, laparoscopy identified positive findings, and pelvic examination correctly identified 89% of them; among those with negative laparoscopy findings (10%), pelvic examination frequently misclassified results (miss diagnosis in 67%). Sensitivity was 85% for TVS and 89% for pelvic examination, with TVS accuracy reported as 87% versus 83% for pelvic examination, and the authors state that exploratory laparoscopy provided a definitive diagnosis in 90% of women with unexplained CPP. The paper’s major caveat is its small sample size and use of convenient sampling, limiting generalizability, and it reports treatment-related symptom improvement in 70% of women with laparoscopically identified lesions. This paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

One of the commonest symptomatology in gynecological outpatient clinics is chronic pelvic pain, it accounts for 10% of gynecologist’s general clinics patients. The study aimed to To evaluate the role of laparoscopy in evaluation of CPP, and its correlation with clinical examination and vaginal ultrasound examination. The present prospective study was done in the Department of Obstetrics and Gynecology Salah Al-Deen general hospital in Tikrit city from 1stApril- 31st August 2020. The study sample consists of 30 patients with chronic pelvic pain, according to the ACOG criteria, with a convenient sampling method. The data collection done through: a designed closed and open-ended questionnaire, physical examination, transvaginal ultrasound & laparoscopic examination for the 30 patients for evaluation of chronic pelvic pain. By laparoscopic examination (90%) of patients had positive findings, pelvic examination identified (89%) of them correctly. Those with negative findings in laparoscopy was (10%) of patient, (33.3%) of them were diagnosed as negative by pelvic examination, there were miss diagnosis in (67%) of the negative patient and (11.1%) of positive diagnosed patient, this was a statically significant relation. Sensitivity of TVS was 85%, versus 89% for the pelvic examination. Specificity for TVS, and pelvic examination was (100%), (33%) respectively. Accuracy of the test for TVS, and pelvic examination was (87%), (83%) respectively. Exploratory laparoscopy provides a definitive diagnosis in 90% of women complaining of unexplained CPP. The surgical treatment of these lesions improves painful symptomatology in 70% of women .
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The Role of Diagnostic Laparoscopy in Chronic Pelvic Pain Main Article Content Abstract One of the commonest symptomatology in gynecological outpatient clinics is chronic pelvic pain, it accounts for 10% of gynecologist’s general clinics patients. The study aimed to To evaluate the role of laparoscopy in evaluation of CPP, and its correlation with clinical examination and vaginal ultrasound examination. The present prospective study was done in the Department of Obstetrics and Gynecology Salah Al-Deen general hospital in Tikrit city from 1stApril- 31st August 2020. The study sample consists of 30 patients with chronic pelvic pain, according to the ACOG criteria, with a convenient sampling method. The data collection done through: a designed closed and open-ended questionnaire, physical examination, transvaginal ultrasound & laparoscopic examination for the 30 patients for evaluation of chronic pelvic pain. By laparoscopic examination (90%) of patients had positive findings, pelvic examination identified (89%) of them correctly. Those with negative findings in laparoscopy was (10%) of patient, (33.3%) of them were diagnosed as negative by pelvic examination, there were miss diagnosis in (67%) of the negative patient and (11.1%) of positive diagnosed patient, this was a statically significant relation. Sensitivity of TVS was 85%, versus 89% for the pelvic examination. Specificity for TVS, and pelvic examination was (100%), (33%) respectively. Accuracy of the test for TVS, and pelvic examination was (87%), (83%) respectively. Exploratory laparoscopy provides a definitive diagnosis in 90% of women complaining of unexplained CPP. The surgical treatment of these lesions improves painful symptomatology in 70% of women .

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chronic_pelvic_pain

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