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…
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…
Endometriosis is a common gynecological condition affecting up to 15% of the general female population. Here, we present a systematic review of imaging techniques of endometriosis. The aim of this review is to determine the most accurate si…
This is a preliminary external validation of the ultrasound-based endometriosis scoring system (UBESS). The main aim was to predict the level of complexity of laparoscopic surgery for endometriosis, based on ultrasound in order to assess it…
In the preoperative evaluation of patients, a basic pelvic transvaginal ultrasound (TVS) can reliably predict the presence or absence of ovarian endometriomas. The visualisation of an endometrioma and the known association between endometri…
The prevalence of endometriosis in patients with infertility can reach up to 70%. Non-invasive tools to understand disease severity remain limited. Many patients facing infertility proceed with routine evaluation of the uterine cavity and f…
INTRODUCTION: The study aim was to evaluate the transvaginal sonography (TVS) "sliding sign" alone, direct visualization of the bowel with TVS, and the combination of both methods (ie "sliding sign" and direct visualization of the bowel), t…
Endometriosis is estimated to affect up to 50% of infertile women, and severity of endometriosis stage appears to correlate with reduced fertility. Ovarian endometriomas are found in up to 44% of women with endometriosis, and are significan…
1. To evaluate the diagnostic accuracy of transvaginal ultrasound (TVS) direct visualisation (DV) of rectal/rectosigmoid (RS) nodules compared to the "sliding sign" (SS) to predict deep infiltrating endometriosis (DIE) of the rectum ® and t…
Pouch of Douglas (POD) obliteration can be predicted with a high degree of certainty in women with symptoms suggestive of underlying endometriosis using transvaginal ultrasound (TVS). To evaluate preoperative real-time dynamic TVS in the pr…
The core definition of endometriosis is when endometrial glands and stoma are identified outside the uterine cavity. It is estimated to affect 2-10% of women in their reproductive age, and 50% of patients complain of infertility. Ovarian en…
The prevalence of a ‘negative sliding sign’ in the low risk population is not known. Our aim is to determine the prevalence of a ‘negative sliding sign’ in low-risk women. An ongoing prospective study. Women attending the gynecology service…
To develop of a logistic regression model using TVS findings to predict the presence of rectal/rectosigmoid DIE during laparoscopy. Multicentre prospective observational study undertaken between from January 2009 to February 2017 including …
To determine correlation between macroscopic appearances of superficial endometriotic lesions noted at laparoscopy and the final histopathology diagnosis. A prospective cohort study involving consecutive women with chronic pelvic pain who u…
We thank Drs Exacoustos, Lazzeri and Zupi for their comments on our study and apologize for not citing their publication1. We agree that preoperative sonographic mapping should be mandatory in cases of suspected deep infiltrating endometrio…