Cyrille Huchon

ObjectiveTo provide French guidelines for the management of women with abnormal uterine bleeding (AUB).DesignA consensus committee of 26 experts was formed. A formal conflict-of-interest (COI) policy was developed at the beginning of the pr…

ObjectivesTo assess the value of a self-completed questionnaire based on patients’ verbal descriptors of pelvic painful symptoms to identify women with endometriosis.DesignProspective 1:2 nonmatched case-control study.SettingThree French en…

OBJECTIVE: To define and assess the prevalence of potentially life-threatening gynecologic emergencies among women presenting for acute pelvic pain for the purpose of developing measures to audit quality of care in emergency departments. ME…

STUDY QUESTION: Could we construct and validate a preoperative score to predict rectosigmoid involvement in endometriosis (RE)? SUMMARY ANSWER: We developed a simple preoperative score (ENDORECT) to predict RE. WHAT IS KNOWN ALREADY: Accura…

Based on the best evidence available, we have provided guidelines for clinical practice to target the nature of endometriosis as a disease, the consequences of its natural history on management, and the clinical and imaging evaluation of th…

ObjectivesTo assess and compare the diagnostic accuracy of transvaginal ultrasonography (TVUS) by trained or untrained ultrasound operators in deep infiltrating endometriosis (DIE) imaging, for diagnosing DIE and bowel involvement.MethodsTh…

First-line diagnostic investigations for endometriosis are physical examination and pelvic ultrasound. The second-line investigations are: targeted pelvic examination performed by an expert clinician, transvaginal ultrasound performed by an…

ObjectiveTo study the performance of MRI for the detection of anterior pelvic endometriotic lesions.Materials and methodsWe carried out a retrospective, single site, case-controlled study of patients who underwent surgery for endometriosis …

First-line investigations to diagnose endometriosis are clinical examination and pelvic ultrasound. Second-line investigations include pelvic examination performed by a referent clinician, transvaginal ultrasound performed by a referent ech…

In case of consultation for chronic pelvic pain or suspicion of endometriosis, it is recommended to evaluate the pain (intensity, resonance) and to search out the evocative and localizing symptoms of endometriosis (Grade B). The main sympto…

PURPOSE: The Endometriosis Health Profile 5 (EHP-5) is a short version of an endometriosis-specific quality of life questionnaire. The objective of the study was to assess the psychometric validity of its French version. METHODS: A total o…

STUDY QUESTION: Which of the Endometriosis Health Profile-5 (EHP-5) and the EuroQol-5D (EQ-5D) is the most efficient to assess quality of life in women suffering from endometriosis? SUMMARY ANSWER: Although EHP-5 and EQ-5D instruments had a…

INTRODUCTION AND HYPOTHESIS: Patients with deep infiltrating pelvic endometriosis (DIE) often describe having lower urinary tract symptoms (LUTS). Bladder pain syndrome in women is also often associated with endometriosis. In this study, we…

Endometriosis is a common gynaecological condition of unknown aetiology that primarily affects women of reproductive age. The accepted first-line imaging modality is pelvic ultrasound. However, magnetic resonance imaging (MRI) is increasing…

Background: Pelvic inflammatory disease (PID) is commonly encountered in ă clinical practice. Objectives: To provide up-to-date guidelines on ă management of PID. Search strategy: An initial search of the Cochrane ă database, PubMed, and Em…

BACKGROUND: Pelvic inflammatory disease (PID) is commonly encountered in clinical practice. OBJECTIVES: To provide up-to-date guidelines on management of PID. SEARCH STRATEGY: An initial search of the Cochrane database, PubMed, and Embase w…

STUDY QUESTION: Is it possible to detect associated deep infiltrating endometriosis (DIE) before surgery for patients operated on for endometriomas using a preoperative clinical symptoms questionnaire? SUMMARY ANSWER: A diagnostic score of…

Pelvic endometriosis is suspected by clinical examination but only confirmed by histology. Before surgery, transvaginal ultrasonography and magnetic resonance imaging are useful for lesions mapping. Uterosacral ligaments are affected in 69%…

Some authors think that transvaginal ultrasonography (TVUS) should be the first-line imaging examination for diagnosing deep infiltrating endometriosis (DIE) and rectal involvement. However, studies on diagnostic accuracy are few and provid…

STUDY QUESTION: How do fully-comprehensive patient-centred descriptions of the symptoms of endometriosis compare with the physicians' description of the symptoms? SUMMARY ANSWER: The description of the painful symptoms due to endometriosis …

Ovarian cysts presumed benign can be organic or functional. Their prevalence is estimated between 14 and 18% in postmenopausal women and around 7% in asymptomatic women of childbearing age. Their incidence during pregnancy is between 0.2 an…