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[25 patients undergoing laparoscopy for pelvic pain]
A Onvural1, M Cognat, O Karabacak
1Faculté de Médecine, Université de Dokuz Eylül, IZMIR Turquie.
Revue Francaise De Gynecologie Et D'Obstetrique
|January 1, 1993
Summary
Chronic gynecologic pelvic pain in women is often linked to prior abdominal surgeries, particularly appendectomy. A novel Infection Importance Coefficient (IIC) helps differentiate pain causes, guiding treatment from non-gynecologic investigation to surgery.
Area of Science:
- Gynecology
- Surgical Pathology
Context:
- Chronic pelvic pain affects women, often with normal gynecological examinations.
- The 30-39 age group, married, multiparous females are most affected.
- Associated symptoms include dysmenorrhea and dyspareunia.
Purpose:
- To investigate the causes of chronic gynecologic pelvic pain in women with normal initial examinations.
- To introduce and validate the Infection Importance Coefficient (IIC) for pain etiology assessment.
Summary:
- 25 patients with chronic pelvic pain and normal gynecological exams were studied.
- Intra-abdominal operations (48%), especially appendectomy (75%), were common causes.
- Laparoscopy revealed adhesions, chronic annexitis, pelvic inflammatory disease, leiomyoma, endometriosis, parametritis, and cysts.
- The IIC categorizes pain causes based on infection severity: 0-2 (non-organic), 3-5 (minor infection), 6+ (significant organic cause requiring surgery).
Impact:
- The IIC provides a structured approach to diagnosing chronic pelvic pain.
- It helps differentiate between non-organic, infectious, and organic causes.
- Guides appropriate treatment strategies, including surgical intervention for severe organic findings.