Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-77c89778f8-gvh9x Total loading time: 0 Render date: 2024-07-18T22:46:47.216Z Has data issue: false hasContentIssue false

Chapter 9 - Sonographic Assessment of Pelvic Endometriosis

Published online by Cambridge University Press:  28 February 2020

Kanna Jayaprakasan ,
Lukasz Polanski  and
Kamal Ojha
By
Tom Holland
Kanna Jayaprakasan
Affiliation:
Department of Maternity and Gynaecology, Royal Derby Hospital, Derby
Lukasz Polanski
Affiliation:
Assisted Conception Unit, Guy’s Hospital, London
Kamal Ojha
Affiliation:
Department of Obstetrics and Gynecology, St George's University Hospital, London
Get access

Summary

Endometriosis is a common gynaecological problem, affecting approximately 5 per cent of women . The diagnosis can take many yearsand the condition can cause debilitating pain and infertility. The disease can be found in many sites throughout the pelvis, in particular the ovaries, pelvic peritoneum, pouch of Douglas (POD), rectum, rectosigmoid, rectovaginal septum (RVS), uterosacral ligaments (USLs), vagina and urinary bladder. Mapping of deeply infiltrating disease is essential to enable the correct counselling regarding treatment modalities (medical or surgical) and risks of surgery, triaging to the correct surgical centre, informing the surgeon in order to correctly plan surgery and enabling other specialities, such as colorectal or urology support, to be organized in advance. Magnetic resonance imaging (MRI) has been used as the main pre-operative imaging modality, but with the correct training and experience transvaginal ultrasound can perform the same role .

Type
Chapter
Information
Gynaecological Ultrasound Scanning
Tips and Tricks
 , pp. 121 - 126
Publisher: Cambridge University Press
Print publication year: 2020

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Ferrero, S, Arena, E, Morando, A, Remorgida, V. Prevalence of newly diagnosed endometriosis in women attending the general practitioner. Int J Gynaecol Obstet 2010;110:203–7.Google Scholar
Hadfield, R, Mardon, H, Barlow, D, et al. Delay in the diagnosis of endometriosis: a survey of women from the USA and the UK. Hum Reprod 1996;11(4):878–80.Google Scholar
Bazot, M, Lafont, C, Rouzier, R, et al. Diagnostic accuracy of physical examination, transvaginal sonography, rectal endoscopic sonography, and magnetic resonance imaging to diagnose deep infiltrating endometriosis. Fertil Steril 2008;92:1825–33.Google Scholar
Hudelist, G, Ballard, K, English, J, et al. Transvaginal sonography vs. clinical examination in the preoperative diagnosis of deep infiltrating endometriosis. Ultrasound Obstet Gynecol 2011;37:480–7.Google Scholar
Naftalin, J, Hoo, W, Pateman, K, et al. How common is adenomyosis? A prospective study of prevalence using transvaginal ultrasound in a gynaecology clinic. Hum Reprod 2012;27(12):3432–9.Google Scholar
Naftalin, J, Hoo, W, Nunes, N, et al. Association between ultrasound features of adenomyosis and severity of menstrual pain. Ultrasound Obstet Gynecol 2016;47(6),779–83.CrossRefGoogle ScholarPubMed
Tailor, A, Jurkovic, D, Bourne, TH, Collins, WP, Campbell, S. Sonographic prediction of malignancy in adnexal masses using an artificial neural network. Br J Obstet Gynaecol 1999;106:21–30.Google Scholar
Holland, TK, Yazbek, J, Cutner, A, et al. The value of transvaginal ultrasound in assessing the severity of pelvic endometriosis. Ultrasound Obstet Gynecol 2010;36:241–8.Google Scholar
Savelli, L, de Iaco, P, Ghi, T, et al. Transvaginal sonographic appearance of peritoneal pseudocysts. Ultrasound Obstet Gynecol 2004;23:284–8.Google Scholar
Savelli, L, Manuzzi, L, Pollastri, P, et al. Diagnostic accuracy and potential limitations of transvaginal sonography for bladder endometriosis. Ultrasound Obstet Gynecol 2009;34:595–600.Google Scholar
Pateman, K, Mavrelos, D, Hoo, WL, et al. Visualization of ureters on standard gynecological transvaginal scan: a feasibility study. Ultrasound Obstet Gynecol 2013;41:696–701.Google Scholar
Pateman, K, Holland, TK, Knez, J, et al. Should a detailed ultrasound examination of the complete urinary tract be routinely performed in women with suspected pelvic endometriosis? Hum Reprod 2015;30:2802–7.Google ScholarPubMed
Block, B. The Practice of Ultrasound: a Step-By-Step Guide to Abdominal Scanning. 2nd ed. Thieme Medical Publishers, 2011.Google Scholar
Bosniak, MA. The Bosniak renal cyst classification: 25 years later. Radiology 2012;262:781–5.Google Scholar
Fedele, L, Piazzola, E, Raffaelli, R, Bianchi, S. Bladder endometriosis: deep infiltrating endometriosis or adenomyosis? Fertil Steril 1998;69:972–5.Google Scholar
Koga, K, Osuga, Y, Yano, T, et al. Characteristic images of deeply infiltrating rectosigmoid endometriosis on transvaginal and transrectal ultrasonography. Hum Reprod 2003;18:1328–33.Google Scholar
Guerriero, S, Condous, G, Van den Bosch, T, et al. Systematic approach to sonographic evaluation of the pelvis in women with suspected endometriosis, including terms, definitions and measurements: a consensus opinion from the International Deep Endometriosis Analysis (IDEA) group. Ultrasound Obstet Gynecol 2016;48(3):318–32.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×