U. Menakaya

Delays in the diagnosis of endometriosis in sub Saharan Africa persist, driven partly by limited access to advanced imaging techniques. Capacity building initiatives focused on ultrasound offer a practical and scalable solution to address t…

Endometriosis is a leading cause of chronic pelvic pain and infertility, affecting an estimated 176 million women globally¹. In sub-Saharan Africa, its diagnosis and management remain constrained by persistent misconceptions such as the bel…

BACKGROUND: Endometriosis-specific (advanced gynaecological) ultrasound is recommended as part of preoperative work-up of women with suspected endometriosis. AIM: To evaluate the awareness and utilisation of advanced gynaecological ultrasou…

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…

It has become necessary to re - examine the relevance of diagnostic laparoscopy in the two-stage approach to surgical management of symptomatic women with higher stage endometriosis following emerging evidence demonstrating acceptable diagn…

OBJECTIVE: To develop and assess the performance of a preoperative ultrasound-based endometriosis staging system (UBESS) to predict the level of complexity of laparoscopic surgery for endometriosis. METHODS: This was a multicenter prospecti…

The IDEA (International Deep Endometriosis Analysis group) statement is a consensus opinion on terms, definitions and measurements that may be used to describe the sonographic features of the different phenotypes of endometriosis. Currently…

Transvaginal sonography (TVS) is now established as a first line imaging tool of choice for the preoperative assessment of endometriosis in women planning laparoscopy for surgical treatment of endometriosis.1,2 The evolution of TVS in the p…

It is now more than four decades since sonography was first used to evaluate the obstetric patient.1 At its beginning, the questions asked were basic. For example, is there a live pregnancy? Is there a singleton or a twin gestation? Where i…

OBJECTIVE: To determine inter- and intraobserver agreement, diagnostic accuracy and the learning curve required for interpreting the 'sliding sign' and predicting pouch of Douglas (POD) obliteration. METHODS: This was an inter-/intraobserve…

To determine the prevalence of ovarian immobility with endometriomas as well as the diagnostic accuracy of transvaginal sonographic (TVS) ovarian mobility in both the presence and absence of endometriomas. Multicentre prospective observatio…

To develop and validate a preoperative ultrasound based staging system to predict laparoscopic level required for endometriosis surgery. Multicentre study of consecutive women presenting with chronic pelvic pain from January 2009 to March 2…

In recent years, knowledge has evolved regarding the role of transvaginal sonography in the assessment of the pouch of Douglas status and the preoperative prediction of extraovarian endometriosis in specific locations. Despite these advance…

OBJECTIVES: To determine the correlation between historical variables at presentation with the phenotype and location of biopsy proven endometriosis at laparoscopy. METHODS: Prospective observational study. Consecutive women had laparoscopi…

To evaluate the real time dynamic sliding sign in the prediction of POD obliteration in women undergoing laparoscopy for suspected endometriosis. A multi-centre prospective observational study with 200 women. All women underwent a transvagi…

To determine whether the presence of site-specific tenderness during transvaginal scan (TVS) corresponds with the location of peritoneal endometriosis at laparoscopy in women with normal POD and no deep infiltrating endometriosis. Multi-cen…

To determine whether there is an association between pouch of Douglas (POD) obliteration at laparoscopy and site specific tenderness during TVS. Multi-center prospective observational study undertaken from January 2009 to February 2013. All…

To correlate an ultrasound based staging system for endometriosis with the level of laparoscopic training required for endoscopic management. Review of 200 patients with complete ultrasound and surgical data. Based on ultrasonographic featu…

To determine whether there is an association between specific symptoms and surgical findings in women with suspected endometriosis. Multi-center prospective observational study undertaken from January 2009 to February 2013. All women includ…

To determine the performance of endometrioma as a tool for triaging women with severe endometriosis to the appropriate surgical expertise. 200 women with complete ultrasound and surgical data undergoing laparoscopy for suspected endometrios…