Workup of chronic pelvic pain
Patients with chronic pelvic pain whose imaging is unrevealing often need laparoscopy for diagnosis. Endometriosis is one of the most common findings.
Diagnostic and Operative Laparoscopy at Oshun is performed by Dr. Charles Rockhead — small abdominal incisions, camera guidance, and a faster recovery than open surgery. Used for evaluation and treatment of pelvic pain, endometriosis, ovarian cysts, ectopic pregnancy, and many other indications.
No obligation · Every consultation is in-person with Dr. Rockhead.
Dr. Rockhead
Performs your procedure personally
In person
Consultation before anything is booked
In writing
Your quote, given at consultation
Kingston
Clinic or accredited surgical centre
No obligation
You decide after the consultation
Questions answered privately
Every procedure at Oshun is reviewed and led by a board-certified Obstetrician and Gynaecologist. Dr. Rockhead is a physician first — the same one who treats women's health on the other side of his practice.
Three decades as a practicing OB/GYN at Amadeo Medical Group, the parent clinical practice. Every Diagnostic Laparoscopy plan is reviewed by a physician who has cared for women through pregnancy, surgery, perimenopause, and post-natal recovery.
Every Diagnostic Laparoscopy patient leaves consultation with a written plan: areas, technique, timing, recovery, cost. Returning patients refine the same plan rather than starting from scratch every visit.
Oshun's approach favours conservative, considered care over aggressive intervention. Decisions are made in conversation with you, options are presented in plain language, and consent is informed at every step.
Most first-time patients arrive with the same set of unspoken questions. They are answered below in the order most people think them — from "how much will I need" to "what if I'm pregnant."
Diagnostic laparoscopy is a minimally-invasive procedure that uses a thin camera introduced through a small umbilical incision to visualise the pelvic and abdominal organs. It is used to diagnose conditions imaging can't fully characterise, and to treat them in the same session when appropriate.
The honest version
Why diagnostic laparoscopy sometimes disappoints.
Diagnostic laparoscopy disappoints when expected findings aren't seen, when the procedure misses subtle disease, or when patients aren't told what to expect from the diagnostic process.
Endometriosis is the classic example. Imaging often misses endometriosis — even significant disease can be invisible on ultrasound and MRI. Laparoscopy with direct visualisation is the diagnostic gold standard. Patients told their imaging was normal may still have endometriosis on laparoscopy.
The shoulder-tip pain from residual carbon dioxide gas in the abdomen catches many patients off-guard. It's not a sign of complication, it's normal physiology — the gas irritates the diaphragm, which refers pain to the shoulder.
At Oshun, we don't run that model. Diagnostic Laparoscopy here is physician-led from consultation through follow-up, with a written plan in your hands and a follow-up visit on the calendar before you leave.
Every diagnostic laparoscopy at Oshun is performed by Dr. Rockhead personally. Identifying subtle endometriosis lesions benefits from extensive case experience.
Dr. Charles Rockhead, Medical Director — Oshun Cosmetic Services, Kingston.
Medical Director · Board-Certified OB/GYN · 30+ years of practice
Dr. Charles Rockhead is a board-certified Obstetrician and Gynaecologist with more than thirty years of practice in Kingston. He is the Medical Director of Oshun Cosmetic Services and the founding physician of Amadeo Medical Group, the parent clinical practice.
A Diagnostic Laparoscopy visit at Oshun follows a clear sequence — from consultation through the procedure itself through follow-up. Here is what happens, step by step.
Before any Diagnostic Laparoscopy is scheduled, you meet Dr. Rockhead in person at 9 Devon Road. He reviews your medical history, examines you as appropriate, and explains the options — including the option not to proceed. You leave with a clear written plan and a quote.
Stop blood thinners 7–10 days before. Fasting from midnight. Pre-op labs and medical clearance.
After general anaesthesia, Dr. Rockhead makes a small (5–10 mm) umbilical incision and insufflates the abdomen with carbon dioxide. The laparoscope is inserted through this incision; additional small (5 mm) ports are placed as needed for instruments. The pelvis and abdomen are inspected systematically; any pathology found is biopsied or treated.
Shoulder-tip pain from the gas used to distend the abdomen is common for 1–3 days and resolves on its own. Wound care for small incisions. Avoid heavy lifting and intercourse for 2–4 weeks. Wound check at 1 week; operative findings review at 2–4 weeks.
Findings discussed immediately. Pathology from biopsies within 1–2 weeks.
Diagnostic Laparoscopy isn't a one-size category — the right approach depends on your specific situation. Below are common patient profiles we see. If one sounds like you, an in-person consultation at 9 Devon Road is the next step.
Patients with chronic pelvic pain whose imaging is unrevealing often need laparoscopy for diagnosis. Endometriosis is one of the most common findings.
Definitive diagnosis requires direct visualisation. Lesions can be excised or ablated in the same session.
Laparoscopy with chromopertubation tests tubal patency directly.
Cysts that persist on serial imaging or have concerning features.
If this sounds right
Every Diagnostic Laparoscopy patient at Oshun starts with a consultation. Twenty minutes, in-person at 9 Devon Road, with Dr. Rockhead. No procedure is scheduled, no quote is signed, no pressure either way. You leave with a plan and a price — or you leave with neither.
No obligation · Every consultation is in-person with Dr. Rockhead.
Open any of them. We've written each answer the way Dr. Rockhead would actually say it — not the way a brochure would.
Every testimonial below this line will be a real Oshun patient who wrote it themselves, signed a consent form, and gave permission to use their name. Oshun does not buy reviews, ghostwrite reviews, or publish anonymous five-star strings. Real or nothing.
Diagnostic laparoscopy is often the answer when imaging hasn't been — particularly for endometriosis, chronic pelvic pain, and unexplained infertility.
No obligation · Every consultation is in-person with Dr. Rockhead.