Ultrasonography has become, along with MRI, the most important aid for proper preoperative planning for endometriosis.
remains laparoscopy, it is now recognized that thorough evaluation via ultrasound offers an acceptable, less expensive, and less invasive alternative. It is especially useful for the diagnosis of deep infiltrative disease, which penetrates more than 5 mm into the peritoneum, ovarianBesides establishing the diagnosis, ultrasound imaging has become, along with MRI, the most important aid for proper preoperative planning.
Dr. Miller is professor of obstetrics and gynecology, department of clinical sciences, Rosalind Franklin University of Medicine and Science, North Chicago. Dr. Miller has no conflicts of interest to report.Endometriosis affects approximately 10%-20% of premenopausal women worldwide. It is the leading cause of chronic pelvic pain, is often associated with infertility, and has a significant impact on quality of life.
Indeed, the typical appearance of endometriotic pelvic lesions on transvaginal sonography, such as endometriomas and rectal deep infiltrating endometriosis — as well as adenomyosis – can be medically treated without histologic confirmation. About 10 years ago, in one such effort, we assessed the accuracy of TVS for DIE by comparing TVS results with laparoscopic/histologic findings, and developed an ultrasound mapping system to accurately record the location, size and depth of lesions visualized by TVS. The accuracy of TVS ranged from 76% for the diagnosis of vaginal endometriosis to 97% for the diagnosis of bladder lesions and posterior cul-de-sac obliteration.
Notably, an accurate ultrasound description of pelvic endometriosis is helpful for accurate classification of disease.
Ultrasonography Ultrasound Sonogram Adenomyosis Uterine Womb Fellowship Fellows Residency Residents Endometrioma Chocolate Cyst Nodule Dysmenorrhea Painful Menstruation Menstrual Cramps Dysmenorrhoea Infertility Surgery Retroverted Uterus Tilted Uterus Tipped Uterus Chronic Pelvic Pain Chronic Pain (Pelvic) Pelvic Pain (Chronic) Pain Management Gynecologic Surgery
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