TVS-based morphological scoring has a satisfactory sensitivity and specificity for the differential diagnosis of small adnexal masses. Flow parameters have inadequate sensitivity and specificity when considered alone, but integrating the results of colour Doppler ultrasound can add reliability to the positive predictive value of TVS-based morphological scores. Laparoscopy is a useful diagnostic modality in assessing CPP patients. Surgery should be scheduled only if specifically indicated. Editor's Comment CPP presents a challenge to both patients and doctors.
Effective management requires a multimodal approach.
This includes a synergism of drug therapy, exercise programmes, diet and lifestyle modifications. No urinary or bowel problems were noted. In this clinical report, the author describes his initial experience with minilaparotomy hysterectomy. So far, this attractive new, easy to learn and inexpensive technique appears safe and feasible for selected patients, with results comparable to laparoscopic surgery. 509 operations were completed over a 3-year period.