Laparoscopic Finding in Thai Women with Chronic Pelvic Pain
SUVIT BUNYA VEJCHEVIN, MD, MRS*, TASSAWAN RUNGRUXSIRIVORN, MD*, PITCHA PINCHANTRA, MD*, WIRACH WISA WASUKMONGCHOL, MD*, SOMCHAI SUWAJANAKORN, MD*, KHUNYINGKOBCHITT LIMPAPHAYOM, MD*
Affiliation : * Gynaecologic Endosocpy Unit, Department Of Obstetrics and Gynecology, Faculty of Medicine, Chulalongkorn University, Bangkok 10330, Thailand.
Objective : To study the laparoscopic findings in Thai women with chronic pelvic pain.
Setting : The Gynecology Endoscopy unit, Department of Obstetrics and Gynecology, Faculty of Medicine, King Chulalongkorn Memorial hospital.
Design : Descriptive study.
Materials and Methods : The medical records of Thai women with chronic pelvic pain under going laparoscopic diagnosis from January 1996 to December 2001 at King Chulalongkorn Hospital were reviewed. Patients' characteristics and laparoscopic findings were reviewed and analyzed.
Results : One hundred and ten eligible women were enrolled in this study. The mean age was 33.9 ± 7.2 years old (16-54 years old). Sixty-seven (60.90%) women had endometriosis, 14 (12.73%) women had pelvic adhesion, 4 (3.64%) women had myoma uteri, 4 (3.64%) women had tubal occlusion and 13 (11.81%) women had normal findings. The majority (38.15%) of endometriosis findings were in minimal stage of American Fertility Society (AFS) scores.
Conclusions : The vast majority of causes of chronic pelvic pain in women in this study was pelvic endometriosis. Laparoscopic diagnosis was an important tool for identifying the causes in Thai patients.
Keywords : Chronic Pelvic Pain, Laparoscopy
