Sonovaginography: redefining the concept of a “normal pelvis” on transvaginal ultrasound pre‐laparoscopic intervention for suspected endometriosis
نویسندگان
چکیده
Office sonovaginography (SVG) challenges the concept of the "normal" pelvic ultrasound in women with chronic pelvic pain and suspected endometriosis. When positive for posterior compartment deep infiltrating endometriosis, with or without Pouch of Douglas obliteration, office SVG allows for triaging of women to the appropriately trained advanced laparoscopic gynaecological and colorectal surgical team. We advocate that all women with suspected endometriosis undergo office SVG prior to laparoscopy to ensure an accurate pre-operative mapping of endometriosis disease location and extension.
منابع مشابه
Exclusion of an endometrioma on transvaginal ultrasound does NOT exclude endometriosis
Historically, if a woman with chronic pelvic pain does not have an endometrioma or obvious adenomyosis on transvaginal ultrasound assessment, then she is deemed to have a “normal pelvis”. A significant proportion of these women will subsequently have endometriosis at laparoscopy. This may range from superficial peritoneal disease to severe disease with pouch of Douglas (POD) obliteration and un...
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Results Fifty-four patients out of 102 women suspected of having posterior DPE underwent laparoscopic surgery. Among these, in 46 (85.2%) cases DPE was confirmed at laparoscopic and histological examination. Sonovaginography correctly identified 43 (93.5%) cases, presenting higher accuracy than did the other procedures. Sonovaginography and MRI were more accurate in diagnosing and discriminatin...
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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 ...
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