Chronic pelvic pain in women: comparative study between ultrasonography and laparoscopy as diagnostic tool

Abstract

Background: Chronic pelvic pain is a major cause of morbidity among the reproductive age group women. The study on patients of chronic pelvic pain aimed to compare the diagnostic accuracy of ultrasonography and laparoscopy in these patients Methods: The study was conducted on 100 patients of chronic pelvic pain attending the gynaecology outdoor and were subjected to thorough clinical examination followed by ultrasonography and laparoscopic examination. Results: Maximum number of cases of chronic pelvic pain belonged to 25-30 years, were parous with mean duration of pain of 15.2 months. The most common complaint was vaginal discharge (70%) followed by menstrual irregularity. On clinical examination, pelvic tenderness was observed in majority (60%) of cases. USG examination showed chronic pelvic inflammatory disease in 43% cases followed by myoma (8%), ovarian cyst (5%), endometriosis (6%), pelvic congestion (5%) and no abnormal pathology in 25% cases. On laparoscopic examination, chronic pelvic inflammatory disease was present in 47% cases followed by endometriosis (11%), pelvic congestion (8%), myoma (8%), adhesions (7%) while 13% cases showed normal findings. Conclusions: Laparoscopy is more effective than ultrasonography as a diagnostic tool in patients of chronic pelvic pain.

Comparing role of laparoscopy, ultrasound and clinical examination in pelvic pain

“…Baloch S et al in their study found 90.6% patients were married and 47.1% were nulliparous. 18 In present study, maximum patients (59.79%) presented with abdominal tenderness which was similar to that found by study of Rawat et al 17 The other clinical features were adnexal tenderness, adnexal mass and restricted mobility which were almost similar to that found by Rawat et al 17 The incidence of adhesions, ovarian cyst, fibroid, endometriosis and pelvic congestion syndrome is correlating with that found in study done by Jyotsana L et al 19 The incidence of patients with normal findings on laparoscopy was similar to that found in study conducted by Kamilya et al and Jyotsana L et al 19,20 In present study, maximum number of patients were diagnosed to have normal findings (22.68%) on laparoscopy followed by adhesions (17.58%) and PID (14.43%). Whereas in study conducted by Kamilya et al and Jyotsana L et al, the maximum number of patients diagnosed were of PID followed by normal findings.…”

“…In the present study, maximum patients (36.08%) belonged to age group 20-30 years. Rawat et al 17 did a study and found maximum patients (37%) belonged to age group 25-30 years age group. Baloch S et al found 62.4% patients in age group 26-35 years.…”

“…Clinical diagnosis Ultrasonographic finding Present study Kamilya et al 17 Present study Kamilya et al 17 Present study Kamilya…”

Pelvic Inflammatory Diseases- An Ayurvedic Perspective.

“…Chronic PID was found in majority (47%) of the cases evidenced by presence of regularly enlarged uterus with tubo-ovarian masses, hydro-salpinx, tortuous tubes or fluid in pouch of Douglas as well as presence of congested adnexa. [13] With above explanation, Vikaraprikriti and Adhisthanantarani are compiled as…”