J. Naftalin

BackgroundAccessory cavitated uterine malformations (ACUMs) are a rare obstructive uterine anomaly that remains poorly understood, posing challenges for clinical management. The aetiopathogenesis is hypothesised to involve the duplication a…

ObjectiveUltrasound-guided cyst aspiration is a potential treatment for acute adnexal torsion that can be performed in the outpatient setting, offering an alternative to emergency laparoscopic surgery. The objective of this study was to des…

Adenomyosis is a benign invasion of endometrial glands and stroma into the uterine myometrium. [1, 2]. It can present with heavy and painful menstrual bleeding or be asymptomatic [2-4]. Over last three decades the diagnosis of adenomyosis h…

BACKGROUND: There is no agreed consensus on the optimal surgical treatment for pain associated with endometriosis. OBJECTIVES: To compare improvement in symptoms and quality-of-life in patients undergoing excisional endometriosis surgery (…

OBJECTIVE: To assess the morphological appearance of deep endometriosis and ovarian endometrioma in pregnancy using pelvic ultrasound examination. METHODS: This was a prospective observational cohort study conducted over 3 years at Univers…

ObjectiveTo compare the diagnostic accuracies of ultrasound and magnetic resonance imaging (MRI) for deep (≥50%) myometrial invasion (DMI) and cervical stromal invasion (CSI) in women with endometrial cancer.MethodsThis was a prospective st…

OBJECTIVES: To evaluate whether the Morphological Uterus Sonographic Assessment (MUSA) features of adenomyosis need to be better defined and, if deemed necessary, to reach consensus on the updated definitions. METHODS: A modified Delphi pr…

STUDY QUESTION: What outcomes should be reported in all studies investigating uterus-sparing interventions for treating uterine adenomyosis? SUMMARY ANSWER: We identified 24 specific and 26 generic core outcomes in nine domains. WHAT IS K…

Background: Adenomyosis is a common benign gynaecological condition that has been associated with heavy and/or painful periods, subfertility and poor obstetric outcomes including miscarriage and preterm delivery. Studies evaluating treatmen…

STUDY QUESTION: Which outcomes and outcome measures are reported in interventional trials evaluating the treatment of adenomyosis? SUMMARY ANSWER: We identified 38 studies, reporting on 203 outcomes using 133 outcome measures. WHAT IS KNOWN…

OBJECTIVE: To describe the clinical and ultrasound characteristics of accessory cavitated uterine malformations (ACUMs). METHODS: This was a single-center observational study of consecutive patients diagnosed with an ACUM, who had undergon…

The aim of this study was to assess the prevalence and morphological appearances of ovarian endometriomas and deep pelvic endometriomas using pelvic ultrasound examination in women attending for early pregnancy care. This was a prospective …

OBJECTIVE: To assess the prevalence and morphological appearance of deep endometriosis and ovarian endometrioma using pelvic ultrasound examination in women attending for an early pregnancy assessment. METHODS: This was a prospective observ…

To assess the inter-observer agreement on the Morphological Uterus Sonographic Assessment (MUSA) features among experts and provide improved definitions of the features to facilitate diagnosing adenomyosis. A modified Delphi procedure among…

To examine the prevalence of endometriosis in a population of women attending a dedicated early pregnancy unit that underwent detailed pelvic ultrasound examination. This was a prospective observational cohort study conducted in our dedicat…

OBJECTIVE: To determine whether significant hemoperitoneum could be a precursor of deep pelvic endometriosis METHODS: This was a prospective observational cohort study which was carried out in a dedicated gynecological diagnostic unit over …

OBJECTIVE: To determine whether significant hemoperitoneum could be a precursor of deep pelvic endometriosis in non-pregnant premenopausal women presenting with severe acute lower abdominal pain. METHODS: This was a prospective observationa…

The main aim of transvaginal ultrasound (TVS) examination is to assess gynecological organs in order to plan patient management. Recent advances in examination technique have facilitated routine assessment of non-gynecological structures in…

Venous thrombosis (VT) commonly arises from the deep veins of the lower limbs. Studies have also shown that VT can originate from “unusual sites” such as the pelvis but there is an overall paucity of data on how to diagnose and manage pelvi…

The aim of this study was to explore patient experiences and perceptions of adenomyosis.

study question: Is the presence of adenomyosis associated with menorrhagia? summaryanswer: Therewas no significant association between adenomyosis andmenorrhagia, but therewas a significant positive correl-ation between the severity of aden…

OBJECTIVE: To investigate the association between the ultrasound features of adenomyosis and the severity of menstrual pain. METHODS: This was a prospective observational study set in the general gynecology clinic of a university teaching h…

STUDY QUESTION: Is the presence of adenomyosis associated with menorrhagia? SUMMARY ANSWER: There was no significant association between adenomyosis and menorrhagia, but there was a significant positive correlation between the severity of a…

OBJECTIVE: To investigate the feasibility of identifying pelvic segments of normal ureters and measuring their size on standard transvaginal ultrasound examination. METHODS: This was a prospective observational study from June to July 2012…