A new expert consensus statement aims to improve endometriosis evaluation. Endometriosis is a common condition with substantial diagnostic delay, leading patients to experience pain, infertility, lost wages and interrupted relationships.
The consensus provides recommendations for augmenting routine pelvic ultrasounds through additional maneuvers and imaging to improve diagnosis of deep endometriosis.
Endometriosis, the presence of endometrium-like tissue outside the uterus, is a prevalent and potentially debilitating condition. The condition is estimated to affect 10% of women of reproductive age and occurs in 21% of women undergoing hysterectomy with chronic pelvic pain. In the United States, there is an over seven-year delay between the onset of symptoms and a diagnosis of endometriosis.
SRU convened a multidisciplinary panel of experts to make recommendations aimed at improving the screening process for endometriosis. "The statement defines the targeted screening population, describes techniques for augmenting pelvic ultrasound, establishes direct and indirect observations for endometriosis on ultrasound, creates an observational grading and reporting system and makes recommendations for additional imaging and patient management," Dr. Young said.
The panel also recommends that direct and indirect observations of deep endometriosis should be assessed during the exam, and results should be reported using four categories: Incomplete , Normal , Equivocal and Positive with associated management recommendations. The authors advise that validation studies will be necessary to prove the accuracy of augmented pelvic ultrasound in widespread clinical application.Scott W. Young, Priyanka Jha, Luciana Chamié, Shuchi Rodgers, Rosanne M. Kho, Mindy M. Horrow, Phyllis Glanc, Myra Feldman, Yvette Groszmann, Zaraq Khan, Steven L. Young, Liina Poder, Tatnai L. Burnett, Eric M. Hu, Susan Egan, Wendaline VanBuren.
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