The role of gynecological, urological, and psychiatric factors in chronic pelvic pain

Demir, Fuat; Özçimen, Emel Ebru; Oral, Hilmi Baha

doi:10.1007/s00404-012-2443-y

Cited by 16 publications

(20 citation statements)

References 18 publications

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“…In one study of 44 patients adhesionlysis and ovarian cyst removal was done in 8, endometrioma excision was done In 9 and salpingectomy and endometrioma cauterization was done in one patient each. 4 Other studies have also shown almost similar results and interesting findings. 12,13,14,15 limitation.…”

Section: Discussionsupporting

confidence: 57%

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Role of diagnostic laparoscopy in chronic pelvic pain

Bhatia

Gupta

Mor

2016

Int J Reprod Contracept Obstet Gynecol

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Section: Discussionsupporting

confidence: 57%

“…In contrast to one study there was a significant difference between two Groups in terms of Patients age. 4 The incidence of CPP was found to be highest in Para 2 (41.81%) and lowest in cases of infertility (1.87%). In Group B, maximum number of cases were Para 2 (45.45%).…”

Section: Discussionmentioning

confidence: 85%

Role of diagnostic laparoscopy in chronic pelvic pain

Bhatia

Gupta

Mor

2016

Int J Reprod Contracept Obstet Gynecol

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“…Its prevalence has been estimated as between 12% and 29%. 8 Laparoscopy in cases of chronic pelvic pain can be useful for diagnosing diseases such as endometriosis, adhesions, ovarian cysts and pelvic inflammatory disease. In cases of endometriosis, laparoscopy is the gold standard for diagnosis, in addition to enable staging (endometriosis grades 1, 2, 3 and 4).…”

Section: Resultsmentioning

confidence: 99%

The role of diagnostic laparoscopy in gynecology

2015

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CONTEXT AND OBJECTIVES: Laparoscopy is a diagnostic method that is currently becoming consolidated for therapeutic use. It consists of endoscopically viewing the abdominal cavity. The aim here was to evaluate the indications for diagnostic videolaparoscopy and the intraoperative findings in an endoscopic gynecology clinic at a tertiary-level hospital over the last five years. DESIGN AND SETTING: Retrospective descriptive study on all diagnostic videolaparoscopy procedures of the last five years carried out in the endoscopic gynecology clinic of a tertiary-level hospital. METHODS:The medical records of 618 women who underwent diagnostic laparoscopy between 2008 and 2012 were analyzed. The clinical characteristics of these women, the indications for videolaparoscopy and the intraoperative findings were evaluated. RESULTS: The women's mean age was 32 ± 6.4 years. Most of the women had already undergone at least one previous operation (60%), which was most frequently a cesarean. The indications for performing videolaparoscopy were infertility in 57%, chronic pelvic pain in 27% and others (intrauterine device, adnexal tumor, ectopic pregnancy or pelvic inflammatory disease) in 16%. The main laparoscopic findings were tubal alterations in the group with infertility (59.78%) and peritoneal alterations in the group with chronic pelvic pain (43.54%). CONCLUSION:The main indications for videolaparoscopy in gynecology were infertility and chronic pelvic pain. However, in most procedures, no abnormalities justifying these complaints were found. RESUMO CONTEXTO E OBJETIVOS:A laparoscopia é um método diagnóstico que atualmente se consolida como terapêutico e se caracteriza pela visão endoscópica da cavidade abdominal. O objetivo foi avaliar as indicações de videolaparoscopia diagnóstica e os achados intraoperatórios no serviço de videolaparoscopia ginecológica de um hospital terciário nos últimos cinco anos. DESENHO E LOCAL: Estudo retrospectivo descritivo com todos os procedimentos videolaparoscó-picos diagnósticos dos últimos cinco anos realizados no serviço de ginecologia endoscópica de um hospital terciário. MÉTODOS: Foram analisados 618 prontuários de mulheres submetidas à laparoscopia diagnóstica entre os anos de 2008 a 2012. Foram avaliadas as características clínicas dessas mulheres, bem como as indicações da videolaparoscopia e os achados intraoperatórios. RESULTADOS: As mulheres tinham em média 32 ± 6.4 anos. A maioria das mulheres já tinha feito pelo menos uma cirurgia anterior (60%), sendo que a mais frequente foi a cesárea. As indicações para a realização da videolaparoscopia foram 57% por infertilidade, 27% por dor pélvica crônica e 16% outras (dispositivo intrauterino, tumor anexial, gravidez ectópica e doença inflamatória pélvica). Os principais achados laparoscópicos foram alterações tubárias no grupo com infertilidade (59.78%) e alterações peritoneais no grupo com dor pélvica (43.54%). CONCLUSÃO: As principais indicações da videolaparoscopia em ginecologia são infertilidade e dor pélvica crônica; mas...

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“…It may also be due to psychological disorders and neurological diseases. Various gynecological causes responsible for CPP are endometriosis, Pelvic Inflammatory Disease (PID), adhesions, pelvic congestion syndrome, adenomyosis, ovarian neoplasm, ovarian remnant, residual syndrome and leiomyoma 3 .…”

Section: Introductionmentioning

confidence: 99%

Chronic Pelvic Pain in Adolescents Transvaginal ultrasound Versus Laparoscopy, A Prospective Cross Sectional Observational Study

2016

Int. J. Curr. Res. Med. Sci.

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Background: Chronic pelvic pain (CPP)is cyclic or noncyclic, intermittent or constant discomfort in the pelvic region for at least 6 months. It is a common complaint in female adolescents that may be overlooked. Objective: To evaluate CPP in adolescents using transvaginal ultrasound (TVS) and laparoscopy. Study design: This is a prospective cross sectional observational study conducted at gynecology clinic of Al Azhar University Hospital of Assiut-Egypt. A total of 100 adolescents with CPP were evaluated by TVS and laparoscopy and findings were analyzed. Results: The mean age of adolescents was 17 ± 3.5 the majority were parous (51%), rural (69%) and low social class (65 %). Diffuse pelvic pain was present in (62%), Dysmenorrheain (61%), deep abdominal and pelvic tenderness in (55% and 80% respectively). TVS was normal in (40%) andabnormalin (60%). Laparoscopic evaluation was normal in (29%)and abnormal in(71%) in the form of tubo-ovarian masses (19%),endometriosis (18%) ovarian cysts (9%), adenomyosis (8%), Adhesions (6%), PID and RVF uterus (4% for each), subserous fibroid and pelvic congestion (1% for each). sensitivity and specificity of TVS were (81.7% and 93.1% respectively). Positive and negative predictive values were 96.7% and 67.5% respectively. Kappa test between TVS and laparoscopy showed good agreement (kappa = 0.67). Conclusions: Good agreement was found between TVS and laparoscopy, however, laparoscopy is considered as a gold standard tool in evaluating adolescent CPP because of distinct advantages in terms of sensitivity and negative predictive value.

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The role of gynecological, urological, and psychiatric factors in chronic pelvic pain

Abstract: Chronic pelvic pain is a syndrome in which biological and psychosocial factors play a role. Laparoscopy for chronic pelvic pain is an operation based on the "see and fight" principle.

Cited by 16 publications

References 18 publications

Role of diagnostic laparoscopy in chronic pelvic pain

Role of diagnostic laparoscopy in chronic pelvic pain

The role of diagnostic laparoscopy in gynecology

Chronic Pelvic Pain in Adolescents Transvaginal ultrasound Versus Laparoscopy, A Prospective Cross Sectional Observational Study

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