“Tenderness-guided” transvaginal ultrasonography: a new method for the detection of deep endometriosis in patients with chronic pelvic pain

Guerriero, S.; Ajossa, Silvia; Gerada, M.; D'Aquila, M.; Piras, Bruno; Melis, Gian Benedetto

doi:10.1016/j.fertnstert.2006.12.060

Cited by 123 publications

(128 citation statements)

References 17 publications

(22 reference statements)

Supporting

Mentioning

126

Contrasting

Unclassified

Order By: Relevance

“…7 In 2007, Guerriero et al introduced a new technique termed tenderness-guided US. 8 Because endometriotic nodules can induce pain, patients are asked to indicate during the US examination which points feel tender under gentle pressure from the probe, and particular attention is paid to evaluating these sites. Guerriero et al found that tenderness-guided TVUS had a sensitivity and specificity of 90 and 95%, respectively, in the detection of deep vaginal and rectal endometriosis.…”

Section: Imaging In Endometriosismentioning

confidence: 99%

Transvaginal sonography in the diagnosis of deep infiltrating endometriosis: A review

Turocy

Benacerraf

2017

J of Clinical Ultrasound

View full text Add to dashboard Cite

This review summarizes the current evidence regarding the diagnostic accuracy of sonography (US) in women with deep infiltrating endometriosis (DIE). It is well known that transvaginal ultrasound (TVUS) can detect ovarian endometriomas with a high degree of sensitivity. In recent years, US has also been used to detect DIE. In the hands of an experienced sonologist, the sensitivity and specificity of TVUS in the detection of DIE is comparable to those of MRI. TVUS can eliminate the need for an MRI in the majority of patients and reduce the need for diagnostic laparoscopy, proving to be an important tool in preoperative planning. © 2016 Wiley Periodicals, Inc. J Clin Ultrasound 45:313-318, 2017.

show abstract

Section: Imaging In Endometriosismentioning

confidence: 99%

Transvaginal sonography in the diagnosis of deep infiltrating endometriosis: A review

Turocy

Benacerraf

2017

J of Clinical Ultrasound

View full text Add to dashboard Cite

show abstract

“…The practitioner therefore can gain crucial information about the degree and area of pain and mobility of organs in the pelvis and correlate the ultrasound findings with the physical examination. [17][18][19] The ability to examine and image the patient at the same time offers considerable and too often neglected value, which is unique to ultrasound imaging as a cross-sectional imaging technique. Tenderness-guided ultrasound imaging has become the most effective way of the detection of implants of painful deep-penetrating endometriosis throughout the pelvis.…”

Section: The Real-time Transvaginal Ultrasound Imagingmentioning

confidence: 99%

Consider ultrasound first for imaging the female pelvis

Benacerraf¹,

Abuhamad²,

Bromley³

et al. 2015

American Journal of Obstetrics and Gynecology

View full text Add to dashboard Cite

“…More recently, Guerriero, et al (2007) modified the SVG technique by placing gel within the probe cover to create a ‘stand‐off’ effect which also improved the sensitivity and specificity for DIE in these locations 29 . In their modified tenderness‐guided transvaginal approach they introduced 12 mL of ultrasound transmission gel (instead of the usual 4 mL) into the probe cover to create a stand‐off effect that enhanced the visualisation of the near‐field area.…”

Section: Evolution Of Sonovaginographymentioning

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

View full text Add to dashboard Cite

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.

show abstract

“Tenderness-guided” transvaginal ultrasonography: a new method for the detection of deep endometriosis in patients with chronic pelvic pain

Cited by 123 publications

References 17 publications

Transvaginal sonography in the diagnosis of deep infiltrating endometriosis: A review

Transvaginal sonography in the diagnosis of deep infiltrating endometriosis: A review

Consider ultrasound first for imaging the female pelvis

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?

Contact Info

Product

Resources

About