Sonovaginography is a new technique for assessing rectovaginal endometriosis

Dessole, Salvatore; Farina, Mauro; Rubattu, G.; Cosmi, Erich; Ambrosini, Guido; Nardelli, Giovanni Battista

doi:10.1016/s0015-0282(02)04952-x

Cited by 129 publications

(117 citation statements)

References 11 publications

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“…The use of a high-frequency probe (10-12 MHz) could increase the diagnostic yield of these subtle lesions. Recently, sonovaginography was reported to be a reliable and simple method for the assessment of rectovaginal endometriosis 20 . In our series, all cases of rectovaginal septum and vaginal involvement were associated with other sites of deep pelvic endometriosis.…”

Section: Discussionmentioning

confidence: 99%

Diagnostic accuracy of transvaginal sonography for deep pelvic endometriosis

Bazot

Thomassin

Hourani

et al. 2004

Ultrasound in Obstet & Gyne

291

275

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Section: Discussionmentioning

confidence: 99%

Diagnostic accuracy of transvaginal sonography for deep pelvic endometriosis

Bazot

Thomassin

Hourani

et al. 2004

Ultrasound in Obstet & Gyne

291

275

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show abstract

“…Furthermore, a second operator was needed to keep the labia majora closed with his or her hands. The results were very encouraging with SVG outperforming TVS alone in the prediction of recto‐vaginal endometriosis with a sensitivity and specificity of 90.6% and 85.7%, respectively 22 . However, because of the ‘messy’ nature of this technique, its poor applicability in an office setting and the fact that this was performed intra‐operatively (when in an ideal world pre‐operative mapping of disease location and extent is critical to surgical planning), saline infusion SVG did not take off as a new modality in the diagnosis of extra‐ovarian endometriosis 25 …”

Section: Evolution Of Sonovaginographymentioning

confidence: 95%

“…In a statement which delineated a consensus on the management of endometriosis, we believe that the omission of ultrasound in the diagnosis of both endometriomata and/or DIE was a serious oversight. Although there is a growing body of evidence for the routine use of pre‐operative TVS in the work up of women with chronic pelvic pain, 7 , 9 – 22 there seems to be a delay in the uptake of these approaches in day to day clinical practice as demonstrated by the recent consensus statement. High quality ultrasound is critical in the diagnosis and planning of surgical management of women with underlying endometriosis.…”

Section: Introductionmentioning

confidence: 99%

The ‘sliding sign’ in conjunction with sonovaginography: is this the optimal approach for the diagnosis of Pouch of Douglas obliteration and posterior compartment deep infiltrating endometriosis?

Menakaya

Reid

Infante

et al. 2013

Australas J Ultrason Med

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Introduction: Endometriosis is a chronic peritoneal disease that may progress as a deep infiltrating lesion involving the posterior compartment of the pelvis. Efforts to improve pre‐operative knowledge of the location and extent of these lesions have resulted in the development of Transvaginal ultrasound (TVS) as the first‐line imaging modality for extra‐ovarian endometriosis. However, various techniques of TVS have been described in the literature for this purpose. Methods: In this review we will detail the evolution of TVS as the primary imaging modality in the pre‐operative diagnosis of posterior compartment deep infiltrating endometriosis (DIE). We will also discuss the potential of an emerging new real‐time diagnostic ultrasound‐based technique known as the ‘sliding sign’ in combination with office gel sonovaginography for the pre‐operative diagnosis of Pouch of Douglas obliteration and posterior compartment DIE. Conclusion: Implementation of the new real‐time dynamic, reproducible and simple ‘sliding sign’ in conjunction with SVG has the potential to challenge the current concept that traditional laparoscopy is the ‘gold standard’ modality for the diagnosis of women with posterior compartment DIE.

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“…Clinical examination alone does not seem to be a good method for detecting peritoneal endometriosis [157]. The sensitivity and specificity of ultrasound and MRI with regard to various forms of peritoneal endometriosis are shown in Table 9 [158][159][160][161][162][163][164][165][166][167]. Results are extremely variable.…”

Section: Endometriosismentioning

confidence: 99%

Imaging in gynecology

Valentin

2006

Best Practice & Research Clinical Obstetrics & Gynaecol

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This chapter summarizes the diagnostic performance (sensitivity, specificity, positive and negative likelihood ratios) of ultrasound, computer tomography, and magnetic resonance imaging in the diagnosis of various gynecological diseases and tumors. Positron emission tomography is not discussed. Imaging in infertility, in the diagnosis of Mullerian duct anomalies and in gynecological oncology (staging of gynecological cancers, diagnosis of recurrence of gynecological cancer, diagnosis of trophoblastic tumors) is not dealt with.Ultrasound is the first line imaging method for discrimination between viable intrauterine pregnancy, miscarriage and tubal pregnancy in women with bleeding and/or pain in early pregnancy, for discrimination between benign and malignant adnexal masses and for making a specific diagnosis in adnexal tumors (e.g., dermoid cyst, endometrioma, hemaorrhagic corpus luteum, ectetera), for diagnosing intracavitary uterine pathology in women with bleeding problems, and for confirming or refuting pelvic pathology in women with pelvic pain. Magnetic resonance imaging may have a role as a secondary test in the diagnosis of adenomyosis, 'deep endometriosis' (e.g., endometriosis in the rectovaginal septum or in the utero-sacral ligaments), and in the diagnosis of extremely rare types of ectopic pregnancy (e.g., in the spleen, liver or retroperitoneum).

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Sonovaginography is a new technique for assessing rectovaginal endometriosis

Cited by 129 publications

References 11 publications

Diagnostic accuracy of transvaginal sonography for deep pelvic endometriosis

Diagnostic accuracy of transvaginal sonography for deep pelvic endometriosis

The ‘sliding sign’ in conjunction with sonovaginography: is this the optimal approach for the diagnosis of Pouch of Douglas obliteration and posterior compartment deep infiltrating endometriosis?

Imaging in gynecology

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