Diagnostic Laparoscopy
Diagnostic laparoscopy is a minimally invasive way to evaluate the pelvis. It is a valuable tool for diagnosing certain medical conditions that cannot be seen on imaging studies, such as endometriosis or pelvic adhesions. Undergoing a diagnostic laparoscopy has the additional benefit of being able to “see and treat.” If extensive scar tissue or endometriosis is seen inside the pelvis on diagnostic laparoscopy it can be treated immediately. Fallopian tube patency can be tested during laparoscopy in patients who desire fertility.
Sometimes the diagnostic laparoscopy shows a completely normal pelvis. This is also useful information. For example, women with chronic pelvic pain often can feel very frustrated because there is no clear cause for their pain. Having a documented normal pelvis can be very helpful in narrowing down the cause of pain. The patient will not have to waste time trying gynecologic treatments that will ultimately be ineffective.
Examples of diagnoses made by diagnostic laparoscopy:
- Endometriosis
- Pelvic adhesions
- Ovarian or tubal cysts
A diagnostic laparoscopy starts with the insertion of a thin camera that is inserted into the abdomen, usually through the navel. Depending on what is found, the patient will have 1-2 additional port sites. Bleeding is usually minimal, and almost all of our patients are able to go home the same day. Recovery is usually minimal and patients are able to return to school or work in just a few days.