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STUDY OBJECTIVE: To evaluate the diagnostic accuracy of transvaginal ultrasound in predicting a laparoscopic, surgically assigned, revised American Society of Reproductive Medicine (ASRM) endometriosis stage. DESIGN: A multicenter, retrosp…

Transvaginal ultrasonography (TVS) should be the first-line investigation in patients with suspicion of deep endometriosis and, in particular, of rectosigmoid endometriosis. TVS cannot assess the presence of intestinal nodules located proxi…

Over recent years, there has been major advancement in the use of transvaginal ultrasound (TVU) for the pre-operative diagnosis and staging of deep endometriosis. The International Deep Endometriosis Analysis (IDEA) Consensus paper establis…

STUDY OBJECTIVE: To demonstrate laparoscopic shaving of deeply infiltrative endometriosis affecting the rectosigmoid colon, with particular emphasis on the anatomic and technical aspects of the procedure. DESIGN: Stepwise demonstration of …

OBJECTIVE: Evaluate whether symptoms and/or transvaginal ultrasound (TVS) 'soft markers' (ovarian immobility and/or site-specific tenderness (SST)) are associated with endometriosis type/location. STUDY DESIGN: Multicenter prospective obse…

STUDY OBJECTIVE: To validate the preoperative ultrasound-based endometriosis staging system (UBESS) for predicting the correct Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG) and Australasian Gynaecolo…

OBJECTIVE: We performed a systematic review and meta-analysis with the aim to answer whether operative laparoscopy is an effective treatment in a woman with demonstrated endometriosis compared with alternative treatments. Moreover, we aimed…

OBJECTIVE: Knowledge of rectouterine cul-de-sac state and consistent classification among surgeons are important in the surgical management of women with endometriosis. The objective of this study was to determine the diagnostic accuracy an…

Ultrasound has become an invaluable tool for the workup and management of patients with symptoms and signs of endometriosis. Until the publication on the systematic approach to ultrasound in patients with suspected endometriosis by the Inte…

Transvaginal ultrasound (TVU) is evolving as an essential tool in the work up for women with pelvic pain and suspected endometriosis. Several studies have demonstrated the accuracy and reliability of TVU for the diagnosis of pelvic deep inf…

OBJECTIVE: To develop and assess the performance of a preoperative ultrasound-based endometriosis staging system (UBESS) to predict the level of complexity of laparoscopic surgery for endometriosis. METHODS: This was a multicenter prospect…

OBJECTIVES: To examine the association between ovarian immobility and presence of endometriomas and assess the diagnostic accuracy of transvaginal sonographic (TVS) ovarian immobility in the detection of deep infiltrating endometriosis (DIE…

The IDEA (International Deep Endometriosis Analysis group) statement is a consensus opinion on terms, definitions and measurements that may be used to describe the sonographic features of the different phenotypes of endometriosis. Currently…

For some, endometriosis represents a chronic, waxing and waning disease that can be associated with significant morbidity. Endometriosis embodies a substantial number of gynaecological presentations for symptoms ranging from pelvic pain to …

It is now more than four decades since sonography was first used to evaluate the obstetric patient.1 At its beginning, the questions asked were basic. For example, is there a live pregnancy? Is there a singleton or a twin gestation? Where i…

OBJECTIVE: To determine inter- and intraobserver agreement, diagnostic accuracy and the learning curve required for interpreting the 'sliding sign' and predicting pouch of Douglas (POD) obliteration. METHODS: This was an inter-/intraobserv…

We read with interest the comments from Noventa et al. regarding the difficulty in identifying the best ‘first-line’ approach for the diagnosis of site-specific deep infiltrating endometriosis (DIE) of the posterior compartment. Indeed, the…

Urinary tract endometriosis has been reported to affect 1% of women with pelvic endometriosis,1 and approximately 10%of these women will have ureteric endometriosis.2 In a recent study, which included 627 women with histologically confirmed…

In recent years, knowledge has evolved regarding the role of transvaginal sonography in the assessment of the pouch of Douglas status and the preoperative prediction of extraovarian endometriosis in specific locations. Despite these advance…

Posterior pelvic compartment deep infiltrating endometriosis (DIE) is known to be significantly associated with specific pelvic pain symptoms, and the excision of DIE has been shown to improve quality of life for these women.1 However, the …