A Comparison of Pelvic Examination, Pelvic Ultrasound and Operative Findings in Ovarian Masses

Abstract

Objectives: To compare and correlate the pelvic examination in adnexal masses with pelvic ultrasound and peroperative findings. Study Period: June 2006 to May 2007. Study Design: Descriptive observational study. Material and Methods: A sample set of 22 patients with adnexal masses have been included in the study to do a comparative study of the pelvic examination with pelvic ultrasound and peroperative findings. Results: Our analysis show a wide range of diversity among the age groups of our sample set. The majority of the patients (81.8%) belong to the reproductive age group between 20-40 years and only 13% of patients are menopausal. Another important observation is that 87% of all patients visited out patient department with sub-acute symptoms and remaining 13% presented with acute symptoms in the Emergency Department. Moreover, 54.54% have right-sided adnexal masses and the remaining 45.45% have left-sided adnexal masses. We have seen only in the 9% of cases that the operative findings are different from that of the ultrasound examination. Conclusion: The final outcome of our research is that the ultrasound examination – an important non-invasive investigation – can only be used as a complementary method to the pelvic examination because the findings can be accurately confirmed only on laparoscopy.