Mathew Leonardi

BACKGROUND: Chronic pelvic pain (CPP) is a common gynaecological condition accounting for 20% of all gynaecological referrals. There are wide ranges of causes with overlapping symptomatology, therefore the management of the condition is a f…

OBJECTIVE: To investigate the agreement of measurements of the three diameters of rectosigmoid deep endometriosis (DE) lesions between presurgical evaluation using transvaginal sonography (TVS) and postsurgical specimen measurement (PSM). …

The study aims to determine the anatomic distribution of DE, provide an epidemiological overview based on advanced transvaginal ultrasound (aTVS), and describe the possible relationship with clinical features obtained with the World Endomet…

This study's objective was to develop a model to predict the need for ureterolysis (i.e. dissection of the ureter) during laparoscopy for endometriosis. Ureterolysis may be considered an advanced laparoscopic procedure not usually performed…

STUDY OBJECTIVE: The aim of this study was to validate temporally and externally the ultrasound-based endometriosis staging system (UBESS) to predict the level of complexity of laparoscopic surgery for endometriosis. DESIGN: A multicenter,…

In transverse, this clip shows the right and left ovary both contain an endometrioma and the ovaries are fixed to each other medially, known as “kissing ovaries.” They are densely adherent to an area that also contains bowel deep endometrio…

Large rectal deep endometriosis nodule completely fixed to the fundus of a retroverted, retroflexed uterus, resulting in complete rectouterine pouch obliteration (negative sliding sign).

COVID-19 has led to new obstacles in the care for women with endometriosis. With many centers around the globe temporarily ceasing outpatient appointments, diagnostic imaging for non-acute pelvic pain, surgery for endometriosis, and fertili…

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…

This opinion article is endorsed by the World Endometriosis Society (WES) and the International Federation of Fertility Societies (IFFS)The COVID-19 pandemic has led to a dramatic shift in the clinical practice of women’s health and routine…

We are proposing a shift in mindset in the field of endometriosis, whereby care for patients with endometriosis mirrors that of patients with gynaecological cancer. To achieve this, we advocate for the recognition of complex benign gynaecol…

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Transvaginal ultrasound (TVS) and magnetic resonance imaging (MRI) have been demonstrated to have a high diagnostic accuracy for ovarian endometriomas (OE), deep endometriosis (DE) and pouch of Douglas (POD) obliteration when performed and …

Given the challenges of the current coronavirus (SARS-CoV-2) pandemic and to protect both patients and ultrasound providers (physicians, sonographers, allied professionals), the International Society of Ultrasound in Obstetrics and Gynecolo…

Can technology help provide answers to a complex condition? This guide demonstrates how to use ultrasound as a first-line diagnostic tool.

To evaluate the diagnostic accuracy of transvaginal ultrasound (TVS) to predict overall deep endometriosis (DE) and DE locations by applying the IDEA terminology. This was an international, multicentre prospective diagnostic accuracy study …

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…