PT  - JOURNAL ARTICLE
AU  - Vaidyanathan Gowri
AU  - Andrzej Krolikowski
TI  - Chronic pelvic pain. Laparoscopic and cystoscopic findings
DP  - 2001 Sep 01
TA  - Saudi Medical Journal
PG  - 769--770
VI  - 22
IP  - 9
4099  - http://smj.org.sa/content/22/9/769.short
4100  - http://smj.org.sa/content/22/9/769.full
SO  - Saudi Med J2001 Sep 01; 22
AB  - OBJECTIVE: To study the laparoscopic and cystoscopic findings in women with chronic pelvic pain referred to the Gynecology Clinic at Sultan Qaboos University Hospital.METHODS: Women referred to Sultan Qaboos University Hospital, Sultanate of Oman from October 1998-September 2000 with pelvic pain of more than 6 months duration were clinically evaluated. Laparoscopic examination was always combined with cystoscopy. Bladder biopsy was performed only if there were doubts regarding the nature of pathology that was found.RESULTS: The mean age of the patients was 31 years and mean parity was 3.0. The minimum duration of symptoms was 6 months, but one 3rd of the patients had pain for more than 2 years. Bladder symptoms were present in 50% and bowel symptoms in 25% of patients. Laparoscopic examination revealed pathological findings in 80% of the cases. Adhesions of the omentum to the uterus or to the laparotomy or laparoscopy scar were the most common pathology (50%). Cystoscopy revealed one case of trigonitis and one case of cystitis.CONCLUSION: Pelvic adhesions were the most common cause of pelvic pain in our study group. Cystoscopy was normal in most of the patients.