Introduction: Chronic pelvic pain (CPP) is intermittent or constant pain in the lower abdomen or pelvis for at least six months duration, not occurring exclusively with menstruation or intercourse and not associated with pregnancy. This chronic pelvic pain (CPP) is poorly understood, and may have significant impact on a woman’s health. Transvaginal sonography (TVS) and laparoscopy are useful in the evaluation of women with CPP. This research was designed to study role of TVS and diagnostic laparoscopy in chronic pelvic pain. Materials and Methods: This prospective study was done at Lalla Ded Hospital from August 2011 to July 2014. All female patients who had clinical diagnosis of CPP were evaluated with the TVS and laparoscopy and findings were recorded. Results: Total of 80 women had CPP. Normal TVS was present in 41 cases (51.25%). The remaining 39 (48.75%) had an abnormal scan. Laparoscopic confirmation of pelvic pathology was reported in 40 cases with abnormal scan but normal scan was confirmed only in 10 (12.50%) cases. Conclusion: In spite of similar specificity and positive predictive value, laparoscopy although being an invasive procedure still has got distinct advantages over TVS in terms of sensitivity and negative predictive value indicating its superiority in management.
| Published in | International Journal of Clinical and Experimental Medical Sciences (Volume 1, Issue 1) |
| DOI | 10.11648/j.ijcems.20150101.12 |
| Page(s) | 4-6 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2015. Published by Science Publishing Group |
Chronic, Pelvic, Pain, TVS, Laparoscopy
| [1] | Cheong YC, Smotra G, Williams AC. Non-surgical interventions for the management of chronic pelvic pain. Cochrane Database Syst Rev. 2014 Mar 5; 3: CD008797 |
| [2] | Pierce AN, Christianson JA. Stress and chronic pelvic pain. ProgMolBiolTransl Sci. 2015; 131: 509-35. |
| [3] | Soper DE. What is new in the mechanisms of chronic pelvic pain? best articles from the past year. Obstet Gynecol. 2015 Mar; 125(3): 729-31. |
| [4] | R.W Beard, E. M Belsey, B.A Liberman, J.C.M Wilkinson. Pelvic pain in women. Am J Obstet Gynecol 1997(1); 128: 566-570. |
| [5] | Amirbekian S, Hooley RJ. Ultrasound evaluation of pelvic pain. Radiol Clin North Am. 2014; 52(6): 1215-35. |
| [6] | Shripad H, Chander C. Role of laparoscopy in evaluation of chronic pelvic pain. J Minim Access Surg. 2005; 1(3): 116–120. |
| [7] | Stout AL, Steege JF, Dodson WC, Hughes CL. Relationship of laparoscopic findings to self-report of pelvic pain. Am J Obstet Gynecol. 1991 Jan; 164(1 Pt 1): 73-9. |
| [8] | Goswami S, Chakraborty P S, Datta R. Laparoscopy in chronic pelvic pain. J Obstet Gynecol India. 2008; 58(5): 435-437. |
| [9] | Howard FM. Chronic Pelvic Pain. Obstet Gynecol 2003; 101: 594-611. |
| [10] | Kamilya G, Mukherji J, Gayen A. Different methods for evaluation of chronic pelvic pain. J Obstet Gynecol India 2005; 55: 251-3. |
| [11] | Veena Agrawal and Roli Gautam. Is Laparoscopy necessary in all cases of chronic pelvic pain? Asian journal of Obs Gynae practice 2004; 89(3): 12- 14. |
| [12] | Mara M, Fucikova Z Kuzei D. Laparoscopy in chronic pelvic pain, a retrospective clinical study. Ceska Gynecol 2002; 67: 38-46. |
| [13] | Kresch AJ, Seifer DB, Sachs LB. Laparoscopy in 100 women with chronic pelvic pain. Obstet Gynecol 1984; 64: 672-4. |
| [14] | Newham AP, van der Spuy ZM, Nugent F. Laparoscopic findings in women with chronic pelvic pain. S Afr Med J 1996; 86: 1200-3. |
| [15] | Howard FM. The role of laparoscopy as a diagnostic tool in chronic pelvic pain. Ballivres best pract. Res, Clin.Gynecol 2000; 14 (3): 467-494. |
APA Style
Shugufta Y. Rather, Sameena Sultana, Sabia Rashid, Imtiaz A. Wani, Rauf A. Wani. (2015). A Comparative Study of Transvaginal Sonography versus Laparoscopy Evaluation in Chronic Pelvic Pain: Original Study. International Journal of Clinical and Experimental Medical Sciences, 1(1), 4-6. https://doi.org/10.11648/j.ijcems.20150101.12
ACS Style
Shugufta Y. Rather; Sameena Sultana; Sabia Rashid; Imtiaz A. Wani; Rauf A. Wani. A Comparative Study of Transvaginal Sonography versus Laparoscopy Evaluation in Chronic Pelvic Pain: Original Study. Int. J. Clin. Exp. Med. Sci. 2015, 1(1), 4-6. doi: 10.11648/j.ijcems.20150101.12
AMA Style
Shugufta Y. Rather, Sameena Sultana, Sabia Rashid, Imtiaz A. Wani, Rauf A. Wani. A Comparative Study of Transvaginal Sonography versus Laparoscopy Evaluation in Chronic Pelvic Pain: Original Study. Int J Clin Exp Med Sci. 2015;1(1):4-6. doi: 10.11648/j.ijcems.20150101.12
Share This Article
Twitter
Linked In
Facebook
Copy
Download@article{10.11648/j.ijcems.20150101.12,
author = {Shugufta Y. Rather and Sameena Sultana and Sabia Rashid and Imtiaz A. Wani and Rauf A. Wani},
title = {A Comparative Study of Transvaginal Sonography versus Laparoscopy Evaluation in Chronic Pelvic Pain: Original Study},
journal = {International Journal of Clinical and Experimental Medical Sciences},
volume = {1},
number = {1},
pages = {4-6},
doi = {10.11648/j.ijcems.20150101.12},
url = {https://doi.org/10.11648/j.ijcems.20150101.12},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcems.20150101.12},
abstract = {Introduction: Chronic pelvic pain (CPP) is intermittent or constant pain in the lower abdomen or pelvis for at least six months duration, not occurring exclusively with menstruation or intercourse and not associated with pregnancy. This chronic pelvic pain (CPP) is poorly understood, and may have significant impact on a woman’s health. Transvaginal sonography (TVS) and laparoscopy are useful in the evaluation of women with CPP. This research was designed to study role of TVS and diagnostic laparoscopy in chronic pelvic pain. Materials and Methods: This prospective study was done at Lalla Ded Hospital from August 2011 to July 2014. All female patients who had clinical diagnosis of CPP were evaluated with the TVS and laparoscopy and findings were recorded. Results: Total of 80 women had CPP. Normal TVS was present in 41 cases (51.25%). The remaining 39 (48.75%) had an abnormal scan. Laparoscopic confirmation of pelvic pathology was reported in 40 cases with abnormal scan but normal scan was confirmed only in 10 (12.50%) cases. Conclusion: In spite of similar specificity and positive predictive value, laparoscopy although being an invasive procedure still has got distinct advantages over TVS in terms of sensitivity and negative predictive value indicating its superiority in management.},
year = {2015}
}
TY - JOUR T1 - A Comparative Study of Transvaginal Sonography versus Laparoscopy Evaluation in Chronic Pelvic Pain: Original Study AU - Shugufta Y. Rather AU - Sameena Sultana AU - Sabia Rashid AU - Imtiaz A. Wani AU - Rauf A. Wani Y1 - 2015/05/22 PY - 2015 N1 - https://doi.org/10.11648/j.ijcems.20150101.12 DO - 10.11648/j.ijcems.20150101.12 T2 - International Journal of Clinical and Experimental Medical Sciences JF - International Journal of Clinical and Experimental Medical Sciences JO - International Journal of Clinical and Experimental Medical Sciences SP - 4 EP - 6 PB - Science Publishing Group SN - 2469-8032 UR - https://doi.org/10.11648/j.ijcems.20150101.12 AB - Introduction: Chronic pelvic pain (CPP) is intermittent or constant pain in the lower abdomen or pelvis for at least six months duration, not occurring exclusively with menstruation or intercourse and not associated with pregnancy. This chronic pelvic pain (CPP) is poorly understood, and may have significant impact on a woman’s health. Transvaginal sonography (TVS) and laparoscopy are useful in the evaluation of women with CPP. This research was designed to study role of TVS and diagnostic laparoscopy in chronic pelvic pain. Materials and Methods: This prospective study was done at Lalla Ded Hospital from August 2011 to July 2014. All female patients who had clinical diagnosis of CPP were evaluated with the TVS and laparoscopy and findings were recorded. Results: Total of 80 women had CPP. Normal TVS was present in 41 cases (51.25%). The remaining 39 (48.75%) had an abnormal scan. Laparoscopic confirmation of pelvic pathology was reported in 40 cases with abnormal scan but normal scan was confirmed only in 10 (12.50%) cases. Conclusion: In spite of similar specificity and positive predictive value, laparoscopy although being an invasive procedure still has got distinct advantages over TVS in terms of sensitivity and negative predictive value indicating its superiority in management. VL - 1 IS - 1 ER -
Information
Email: