ENDOSALPINGIOSIS FOUND AT LAPAROSCOPY FOR CHRONIC PELVIC PAIN

Objective: To assess a correlation between endosalpingiosis and pelvic pain. Design: A retrospective analysis of every patient undergoing la paroscopy for chronic pelvic pain at Yale-New Haven Hospital by one su rgeon from August 1992 through October 1993 was performed, focusing on those cases with endosalpingiosis. Results: Of 51 laparoscopies perfo rmed for chronic pelvic pain, 37 demonstrated visual evidence of impla nts and pathology specimens were read as either endometriosis or endos alpingiosis in 23 cases. Of those 23 cases, 6 demonstrated endosalping iosis, and 4 of those 6 demonstrated both endosalpingiosis and endomet riosis. In all six cases endosalpingiosis was found in locations consi stent with the patients' pelvic pain symptoms, and all six patients ex perienced relief from their pain symptoms after surgery. Conclusions: Endosalpingiosis may be found in association with chronic pelvic pain. The pelvic distribution of endosalpingiosis in patients with chronic pain is consistent with that generally found in endometriosis.