Diagnostic accuracy and potential limitations of transvaginal sonography for bladder endometriosis

Savelli, L.; Manuzzi, Lisa; Pollastri, Paola; Mabrouk, Mohamed; Seracchioli, Renato; Venturoli, Stefano

doi:10.1002/uog.7356

Cited by 84 publications

(65 citation statements)

References 18 publications

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“…From this point of view, our results are consistent with the results of Savelli et al [9] which reported a sensitivity of 44% of gel SVG in the diagnosis of vesical endometriosis.…”

Section: Discussionsupporting

confidence: 93%

Diagnosis of endometriotic lesions by sonovaginography with ultrasound gel

et al. 2016

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Aims: The aim of the study was to evaluate the diagnostic ability of sonovaginography (SVG) with ultrasound gel in patients with endometriosis. Material and methods: We conducted a multicentre prospective study, which included 193 patients with symptoms highly suggestive for endometriosis. All patients were investigated by transvaginal sonography and SVG with gel and afterwards underwent laparoscopic surgery. For each category of endometriotic lesions investigated, we calculated and compared the sensitivity, specificity, positive predictive value and negative predictive value of the imagisticinvestigations used. Results: In the case of endometriotic lesions of the uterosacral ligaments, SVG with gel had a sensitivity of 78.5% and a specificity of 96% (p=ns). The lesions of the vagina and rectovaginal septum were diagnosed with a sensitivity of 79%, respectively 94% (p=ns), obtaining a specificity of 99%, respectively of 97% (p=0.007). The lesions of the Douglas pouch were identified with a sensitivity of 81% (p=0.015), and those of the rectosigmoid with a 94% sensitivity (p=0.010). We obtained lower sensitivity (67%) in detecting the lesions of the urinary bladder (p=ns). Conclusions: SGV with ultrasound gel represents a useful investigation tool for the evaluation of endometriotic lesions in the posterior pelvic compartment.

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“…From this point of view, our results are consistent with the results of Savelli et al [9] which reported a sensitivity of 44% of gel SVG in the diagnosis of vesical endometriosis.…”

Section: Discussionsupporting

confidence: 93%

Diagnosis of endometriotic lesions by sonovaginography with ultrasound gel

et al. 2016

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“…It is thought to occur in approximately 1-2% of patients with endometriosis and involves the bladder in 90% of these cases. 18,21 Bladder endometriosis can be described as superficial or deep depending on the degree of invasion. Deep bladder endometriosis involves invasion of the muscular is and symptoms can include dysuria, frequency, nocturia, bladder spasms, suprapubic pain and haematuria.…”

Section: Bladder and Ureteric Endometriosismentioning

confidence: 99%

“…Deep bladder endometriosis involves invasion of the muscular is and symptoms can include dysuria, frequency, nocturia, bladder spasms, suprapubic pain and haematuria. 18 Superficial endometriosis describes endometriosis on the peritoneal surface overlying the bladder.…”

Section: Bladder and Ureteric Endometriosismentioning

confidence: 99%

“…18 TVS is reported to have a high accuracy (91-95%) in the detection of bladder nodules. 18,19 MRI is also useful particularly for smaller bladder lesions.…”

Section: Introductionmentioning

confidence: 99%

“…18 TVS is reported to have a high accuracy (91-95%) in the detection of bladder nodules. 18,19 MRI is also useful particularly for smaller bladder lesions. 20 Cystoscopy can also be beneficial to preoperatively assess the size/position of a bladder nodule and it relationship to the ureteric orifices and if indicated a biopsy can be taken for histological diagnosis 4 ( Figure 2).…”

Section: Introductionmentioning

confidence: 99%

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How to perform an ultrasound to diagnose endometriosis

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Ultrasound has become an invaluable tool for the workup and management of patients with symptoms and signs of endometriosis. Until the publication on the systematic approach to ultrasound in patients with suspected endometriosis by the International Deep Endometriosis Analysis (IDEA) group, there was significant heterogeneity in the scientific literature in nomenclature, definitions and components of this particular scan. Despite the concise four steps outlined in their consensus statement, the nature of this ultrasound is advanced, complex and time consuming. Without intending to oversimplify the task, we propose a practical and comprehensive approach on how to perform an ultrasound scan to assess the pelvis of a woman with potential underlying endometriosis.

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Diagnostic accuracy and potential limitations of transvaginal sonography for bladder endometriosis

Abstract: Objectives (70.6% vs. 25.0%; P = 0.005). At TVS, the nodule was hypoechogenic, its morphology was either elongated ('comma-shaped': 12/18, 66.7%) or spherical (6/18, 33.3%), and the site involved was the dome (11/18, 61.1%) or the base (7/18, 38.9%)

Cited by 84 publications

References 18 publications

Diagnosis of endometriotic lesions by sonovaginography with ultrasound gel

Diagnosis of endometriotic lesions by sonovaginography with ultrasound gel

The Diagnosis and Management of Severe Endometriosis

How to perform an ultrasound to diagnose endometriosis

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