The Role of Diagnostic Laparoscopy in Detection of Endometriosis

In the the present study patients were divided into three study groups of thirty patients each, group 1 included Infertility patients, group 2 comprised of patients undergoing laparoscopy for ovarian cyst, chronic pelvic pain, fibroid uterus, adnexal mass etc. and group 3 had patients undergoing laparoscopic sterilization without any symptoms. Prevalence of endometriosis was found to be 12.2%.Highest being in Group 1(23.3%), followed by Group 2 (13.3%) and no cases of endometriosis were detected in Group 3. Peritoneum was involved in maximum cases with commonest lesion being subtle red lesion (71.4%).On comparing ultrasound with laparoscopy in endometriosis diagnosis, sensitivity of ultrasound was only 9%. Thus it is recommended that diagnostic laparoscopy in gold standard for the diagnosis of endometriosis