Chronic Pelvic Pain in Adolescents Transvaginal ultrasound Versus Laparoscopy A Prospective Cross Sectional Observational Study

Volume 1, Issue 1, October 2016     |     PP. 86-96      |     PDF (1019 K)    |     Pub. Date: October 25, 2016
DOI:    415 Downloads     6981 Views  

Author(s)

Mahmoud Edessy, Obstetrics and Gynecology Department, Faculty of Medicine, Al-Azhar University- Egypt
Abdel Aziz G. El Darwish, Obstetrics and Gynecology Department, Faculty of Medicine, Al-Azhar University- Egypt
Ahmed Ali M. Nasr, Obstetrics and Gynecology Department, Faculty of Medicine, Al-Azhar University- Egypt
Manal G. Abd El Aty, Obstetrics and Gynecology Department, Faculty of Medicine, Al-Azhar University- Egypt
Mahmoud I. El Rashedy, Obstetrics and Gynecology Department, Faculty of Medicine, Al-Azhar University- Egypt
Hosam H. El Katatny, Obstetrics and Gynecology Department, Faculty of Medicine, Al-Azhar University- Egypt
Fawzya M., Obstetrics and Gynecology Department, Faculty of Medicine, Al-Azhar University- Egypt

Abstract
Background: Chronic pelvic pain (CPP) is cyclic or noncyclic, intermittent or constant discomfort in the pelvic region for at least 6 months. It is a common complaint in female adolescents that may be overlooked.Objective: To evaluate CPP in adolescents using transvaginal ultrasound (TVS) and laparoscopy.Study design: This is a prospective cross sectional observational study conducted at gynecology clinic of Al Azhar University Hospital of Assiut- Egypt. A total of 100 adolescents with CPP were evaluated by TVS and laparoscopy and findings were analyzed. Results: The mean age of adolescents was 17 ± 3.5 the majority were parous (51%), rural (69%) and low social class (65 %(. Diffuse pelvic pain was present in (62%), Dysmenorrhea in (61%), deep abdominal and pelvic tenderness in (55% and 80% respectively). TVS was normal in (40%) and abnormal in (60%). Laparoscopic evaluation was normal in (29%) and abnormal in (71%) in the form of tubo- ovarian masses (19%), endometriosis (18%) ovarian cysts (9%), adenomyosis (8%), Adhesions (6%), PID and RVF uterus (4% for each), subserous fibroid and pelvic congestion (1% for each). sensitivity and specificity of TVS were (81.7% and 93.1% respectively). Positive and negative predictive values were 96.7% and 67.5% respectively. Kappa test between TVS and laparoscopy showed good agreement (kappa = 0.67(.Conclusions: Good agreement was found between TVS and laparoscopy, however, laparoscopy is considered as a gold standard tool in evaluating adolescent CPP because of distinct advantages in terms of sensitivity and negative predictive value.

Keywords
Chronic Pelvic Pain, TVS, Laparoscopy, adolescents

Cite this paper
Mahmoud Edessy, Abdel Aziz G. El Darwish, Ahmed Ali M. Nasr, Manal G. Abd El Aty, Mahmoud I. El Rashedy, Hosam H. El Katatny, Fawzya M., Chronic Pelvic Pain in Adolescents Transvaginal ultrasound Versus Laparoscopy A Prospective Cross Sectional Observational Study , SCIREA Journal of Clinical Medicine. Volume 1, Issue 1, October 2016 | PP. 86-96.

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