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…
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…
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 …
OBJECTIVES: To determine the correlation between historical variables at presentation with the phenotype and location of biopsy proven endometriosis at laparoscopy. METHODS: Prospective observational study. Consecutive women had laparoscop…
Introduction: Uterine rupture and uterine dehiscence during pregnancy are known complications of a scarred uterus. Spontaneous uterine rupture at the site of prior cornual wedge resection has been previously reported in the literature, howe…
Transvaginal ultrasonography (TVS) is recommended as the first line imaging tool for the pre-operative diagnosis of posterior compartment deep infiltrating endometriosis (DIE), with a sensitivity and specificity for the prediction of bowel …
AIM: To compare the performance of history and examination findings combined with transvaginal ultrasound (TVS) ‘soft marker’ evaluation of ovarian mobility for the prediction of fixed ovaries secondary to endometriosis at laparoscopy. MET…
Pre-operative diagnosis of pouch of Douglas (POD) obliteration is important for several reasons. We know that pre-operative identification of POD obliteration allows for the identification of women who may be at a higher risk of having unde…
Ultrasound techniques currently employed in the definition of posterior compartment deep infiltrating endometriosis (DIE) are now well described. These include the sonovaginography, first described by Dessole in 2003, for mapping the locati…
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 le…