Volume 1, Issue 1, May 2015, Page: 4-6
A Comparative Study of Transvaginal Sonography versus Laparoscopy Evaluation in Chronic Pelvic Pain: Original Study
Shugufta Y. Rather, Department of Obstetrics & Gynecology, Lalla Ded Hospital, Govt. Medical College, Srinagar, Kashmir, India
Sameena Sultana, Department of Obstetrics & Gynecology, Lalla Ded Hospital, Govt. Medical College, Srinagar, Kashmir, India
Sabia Rashid, Department of Obstetrics & Gynecology, Lalla Ded Hospital, Govt. Medical College, Srinagar, Kashmir, India
Imtiaz A. Wani, Department of Surgery, Directorate of Health Services, Kashmir, India
Rauf A. Wani, Department of Surgery, Sheri Kashmir Institute of Medical Sciences, Srinagar, Kashmir, India
Received: May 15, 2015;       Accepted: May 22, 2015;       Published: May 22, 2015
DOI: 10.11648/j.ijcems.20150101.12      View  3472      Downloads  72
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.
Keywords
Chronic, Pelvic, Pain, TVS, Laparoscopy
To cite this article
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, International Journal of Clinical and Experimental Medical Sciences. Vol. 1, No. 1, 2015, pp. 4-6. doi: 10.11648/j.ijcems.20150101.12
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