Errico Zupi

OBJECTIVE: The uterine junctional zone (JZ) alterations are correlated with adenomyosis. An accurate evaluation of the JZ may be obtained by 3-dimensional transvaginal sonography (TVS). The aim of the present prospective study was to assess…

STUDY OBJECTIVE: To evaluate the accuracy of 3-dimensional transvaginal sonography (3D TVS) in the diagnosis of adenomyosis by correlating adenomyosis-induced morphologic alterations in the myometrium and the junctional zone (JZ) with histo…

New perspectives for the treatment of endometriosis

Endometriosis is a chronic condition characterized by growth of endometrial tissue outside the uterus. Common symptoms include dysmenorrhoea, dyspareunia, non-cyclic pelvic pain, and infertility. Endometriosis is often treated surgically up…

Transvaginal sonography (TVS) in expert hands is very accurate to evaluate the pelvic extension of DIE. However the TVS findings are often not comprehensive to the surgeon in order to establish accurate management and counseling of the pati…

Rectal and sigmoid endometriosis lesions have surgically different approaches but also different postsurgical events and complications. The management and counseling of the affected patients is very different according also to the prevalent…

The aim of this study was to assess the efficacy of 3D TVS to detect morphological alterations of JZ in infertile patients affected by pelvic endometriosis and to correlate the findings to the laparoscopic stage of endometriosis. We evaluat…

OBJECTIVE: To correlate with histopathological features the adenomyosis-induced morphological alterations of the outer myometrium and the inner myometrium ('junctional zone', JZ) detectable on two- (2D) and three-dimensional (3D) transvagin…

STUDY OBJECTIVE: To evaluate continuous (CON) compared with cyclic (CYC) administration of combined oral estroprogestins for 6 months after laparoscopic excision of ovarian endometriomas associated with pain. DESIGN: Multicenter, prospecti…

The aim of this study was to evaluate in patients with pelvic deep infiltrating endometriosis (DIE) the accuracy of transrectal ultrasound examination using the transvaginal probe to assess grade of rectal wall infiltration in comparison wi…

Although TVS by experienced investigators is an accurate tool for diagnosis of adenomyosis in clinically suspected cases, it is not as reliable in unselected premenopausal women. The aim of this study is to correlate adenomyosis induced det…

Magnetic Resonance Imaging (MRI) has emerged to be the best diagnostic imaging to evaluate the extent pelvic deep infiltrating endometriosis (DIE). Transvaginal sonography (TVS) is very accurate in diagnosing ovarian endometriomas but shows…

Presacral neurectomy (PSN) has been successfully used to treat women experiencing midline premenstrual and menstrual dysmenorrhea along with mid line pelvic pain for almost 100 years. Recent developments in minimally-invasive surgical techn…

Recently it has been reported that a levonorgestrel intrauterine system (LNG-IUS) could be an effective and safe method in the treatment of adenomyosis. The aim of this study was to assess whether the sonographically detectable morphologica…