Our experience in laparoscopic diagnosis and management in women with chronic pelvic pain.

Chronic pelvic pain (CPP) still remains a serious problem in everyday gynecological practice. The aim of this study was to prospectively estimate the occurrence of pelvic varicosities in women with CPP and also to report our experience in the establishment of diagnosis and management of patients with CPP. We examined 264 premenopausal women aged 18 to 42 years referred to us for chronic constant pelvic pain of at least 6 months duration and with incomplete relief by previous treatments. The women were divided into 4 groups in proportion to their parity. The results of our study demonstrate that pelvic congestion is a common finding in women with chronic pelvic pain especially in multigravidas. Based on our findings we support laparoscopic resetting of the uterus as an option for treatment in patients desiring maintenance of future fertility.