Mercedes Espada

OBJECTIVE: To determine the diagnostic performance of each additional step of the four-step International Deep Endometriosis Analysis (IDEA) consensus protocol for predicting the presence of deep endometriosis (DE) on transvaginal ultrasoun…

BACKGROUND AND AIMS: In March 2022, updates in the Australian Medicare Benefits Schedule relating to endometriosis surgery were made relating to item numbers 35637, 35631 and 35632 (division of 35638) and 35641. Updated codes aligned with r…

Endometriosis in adolescents presents unique diagnostic and management challenges compared to its manifestation in adult women. The symptoms can vary significantly among individuals, often resulting in a substantial delay in diagnosis, whic…

Endometriosis is traditionally regarded as a condition predominantly affecting women of reproductive age, often associated with infertility and cyclical pelvic pain. As a result, a significant body of research and clinical attention has bee…

BACKGROUND: Inter-observer agreement for the American Association of Gynecologic Laparoscopists (AAGL) 2021 Endometriosis Classification staging system has not been described. Its predecessor staging system, the revised American Society for…

OBJECTIVE: To identify a microbial signature for endometriosis for use as a diagnostic non-invasive biomarker. DESIGN: Prospective cohort pilot study. SETTING: Nepean Hospital and UNSW Microbiome Research Centre, Australia. POPULATION: S…

Objective To identify a diagnostic microbial signature for endometriosis. Design Prospective cohort study Setting Nepean Hospital and UNSW Microbiome Research Centre, St George Hospital, Australia Population 64 age- and sex-matched subjects…

In March 2022 Australian Medicare Benefits Schedule updated gynecological item numbers relating to endometriosis surgery. Specific item numbers include 35637, 35631 and 35632 (a division of 35638) and 35641 (14). Each item number correlates…

With the ESHRE 2022 endometriosis guideline outlining the ‘gold standard’ for endometriosis diagnosis is now imaging, the prior mantra of “see and treat” at time of laparoscopy now has a new meaning. The rASRM, AAGL, UBESS, #ENZIAN and EFI …

Typically, we think of the endometriosis patient as being symptomatic and in the fertile age bracket but we are largely ignoring a group of patients who remain undiagnosed suffering from unexplained pelvic pain and infertility. These are th…

Objective To externally validate the “2021 AAGL Endometriosis Classification” staging system. Design Retrospective, diagnostic accuracy study Setting Multicentre Population or Sample Two hundred and seventy-two endometriosis patients (Janua…

Endometriosis is a chronic systemic disease that can cause pain, infertility and reduced quality of life. Diagnosing endometriosis remains challenging, which yields diagnostic delays for patients. Research on diagnostic test accuracy in end…

In endometriosis, it is becoming increasingly clear how important imaging is to advancing the potential to provide an accurate non-invasive diagnosis1, 2, understanding severity preoperatively3, triaging patients to an appropriately trained…

We will demonstrate that with intraoperative transvaginal ultrasound (iTVS), it is possible to identify the posterior compartment structures, special attention to the uterosacral ligaments and the pouch of Douglas (POD) peritoneum. This tec…

Abstract We aim to describe the diagnosis and surgical management of urinary tract endometriosis (UTE). We detail current diagnostic tools including advanced transvaginal ultrasound, magnetic resonance imaging, and surgical diagnostic tools…

We aim to describe the diagnosis and surgical management of urinary tract endometriosis (UTE). We detail current diagnostic tools, including advanced transvaginal ultrasound, magnetic resonance imaging, and surgical diagnostic tools such as…

OBJECTIVES: Pouch of Douglas (POD) obliteration can be predicted with a high degree of certainty and reproducibility using the dynamic transvaginal ultrasound (TVS) sliding-sign technique. So far, studies on POD obliteration prediction have…

OBJECTIVES: To evaluate whether gynecologic surgical trainees (fellows) can become competent in the real-time classification of the pouch of Douglas (POD) obliteration state and direct visualization of bowel deep endometriosis (DE) during a…

The gold standard for diagnosis of endometriosis remains direct visualization at laparoscopy and histological confirmation. However, ultrasound is emerging as a key modality in detecting endometriosis. This case demonstrates how ultrasound …