Value of transvaginal ultrasound in assessing severity of pelvic endometriosis

Holland, Tom; Yazbek, Joseph; Cutner, Alfred; Sarıdoğan, Ertan; Hoo, W.; Jurkovic, D.

doi:10.1002/uog.7689

Cited by 105 publications

(111 citation statements)

References 31 publications

(39 reference statements)

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“…Therefore, in women who are infertile or have chronic pelvic pain, and in the absence of ovarian endometriomas, it is important to look for sonographic signs of adhesions. Only a few studies have attempted to assess the ability of transvaginal sonographic examination to detect the presence of pelvic adhesions in women with pelvic endometriosis, and to assess their severity [32][33][34][35].…”

Section: Ultrasound Evaluationmentioning

confidence: 99%

Imaging for the evaluation of endometriosis and adenomyosis

Exacoustòs

Manganaro

Zupi

2014

Best Practice & Research Clinical Obstetrics & Gynaecol

207

143

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Endometriosis affects between 5 and 45% of women in reproductive age, is associated with significant morbidity, and constitutes a major public health concern. The correct diagnosis is fundamental in defining the best treatment strategy for endometriosis. Therefore, non-invasive methods are required to obtain accurate diagnoses of the location and extent of endometriotic lesions. Transvaginal sonography and magnetic resonance imaging are used most frequently to identify and characterise lesions in endometriosis. Subjective impression by an experienced sonologist for identifying endometriomas by ultrasound showed a high accuracy. Adhesions can be evaluated by real-time dynamic transvaginal sonography, using the sliding sign technique, to determine whether the uterus and ovaries glide freely over the posterior and anterior organs and tissues. Diagnosis is difficult when ovarian endometriomas are absent and endometriosis causes adhesions and deep infiltrating nodules in the pelvic organs. Magnetic resonance imaging seems to be useful in diagnosing all locations of endometriosis, and its diagnostic accuracy is similar to those obtained using ultrasound. Transvaginal ultrasound has been proposed as first line-line imaging technique because it is well accepted and widely available. The main limitation of ultrasound concerns lesions located above the rectosigmoid junction owing to the limited field-of-view of the transvaginal approach and low accuracy in detecting upper bowel lesions by transabdominal ultrasound. A detailed non-invasive diagnosis of the extension in the pelvis of endometriosis can facilitate the choice of a safe and adequate surgical or medical treatment

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Section: Ultrasound Evaluationmentioning

confidence: 99%

Imaging for the evaluation of endometriosis and adenomyosis

Exacoustòs

Manganaro

Zupi

2014

Best Practice & Research Clinical Obstetrics & Gynaecol

207

143

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“…TVS has the ability to diagnostic ovarian endometriomas and to detect presence of pelvic endometriosis affecting the pouch of Douglas, recto-vaginal space, sacro-uterine ligaments and recto-sigmoid colon. Recent studies have shown that the accuracy of TVS in the detection of deep infiltrating endometriosis is about 90%, with a sensitivity of 81-85% and a specificity of 94-98% [28,29].…”

Section: Endometriosis Groupmentioning

confidence: 99%

Hysterosalpingo-contrast-sonography (HyCoSy) in the assessment of tubal patency in endometriosis patients

Moro

Tropea

Selvaggi

et al. 2015

European Journal of Obstetrics & Gynecology and Reproductiv

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“…In addition to endometriomas, expert operators can accurately map endometriosis including rectovaginal nodules and bowel nodules. Coupled with an assessment of pelvic organ mobility, it is now possible to reliably diagnose advanced endometriosis on ultrasound [7,8]. This information can be used to reduce the need for diagnostic laparoscopy and accelerate appropriate treatment for patients.…”

Section: Workupmentioning

confidence: 99%

Treatment of Endometriosis in Women Desiring Fertility

Mavrelos

Sarıdoğan

2015

J Obstet Gynecol India

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Endometriosis is a common condition affecting a significant proportion of women in their reproductive age. Apart from the impact of endometriosis on the quality of life of these patients, it also can have an impact on the potential of these women to have a family. The options for treating women with endometriosis desiring a family include surgery or assisted reproduction techniques. The choice of treatment will depend on the stage of disease and the characteristics of the couple seeking help. We review here the latest evidence on the management of endometriosis in women desiring fertility and describe our current practice.

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Value of transvaginal ultrasound in assessing severity of pelvic endometriosis

Cited by 105 publications

References 31 publications

Imaging for the evaluation of endometriosis and adenomyosis

Imaging for the evaluation of endometriosis and adenomyosis

Hysterosalpingo-contrast-sonography (HyCoSy) in the assessment of tubal patency in endometriosis patients

Treatment of Endometriosis in Women Desiring Fertility

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