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…
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 …
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…
Transvaginal ultrasound (TVU) is evolving as an essential tool in the work up for women with pelvic pain and suspected endometriosis. Several studies have demonstrated the accuracy and reliability of TVU for the diagnosis of pelvic deep inf…
About 15% of women who present to a gynecology clinic have chronic pelvic pain (CPP). Up to 26% of this group will have underlying pouch of Douglas obliteration yet 82% of gynecologists admit to not being able to perform advanced laparoscop…
To determine interrater agreement for gynecologists with >10 years' experience in transvaginal ultrasound (TVU), upon adopting specialised TVU (S-TVU), for the prediction of ovarian mobility, uterine “sliding sign” (i.e. POD obliteration) a…
Pouch of Douglas (POD) obliteration in women with potential endometriosis will warrant referral to a specialised endosurgery unit. Advanced laparoscopic skills are required to manage women with complex endometriosis and underlying POD oblit…
A negative uterine “sliding sign” (i.e. POD obliteration/uterorectal adhesions) is known to be significantly associated with rectal deep infiltrating endometriosis (DIE). We aim to compare the performance of the “sliding sign” alone to dire…
To prospectively validate the recently developed Ultrasound Based Endometriosis Staging System (UBESS). Multicentre study of consecutive women presenting with chronic pelvic pain from July 2013 to December 2015. All women with symptoms of c…
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 prospect…
OBJECTIVES: To examine the association between ovarian immobility and presence of endometriomas and assess the diagnostic accuracy of transvaginal sonographic (TVS) ovarian immobility in the detection of deep infiltrating endometriosis (DIE…
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…
Adenomyosis is a heterogenous gynecologic condition. Patients with adenomyosis can have a range of clinical presentations. The most common presentation of adenomyosis is heavy menstrual bleeding and dysmenorrhea; however, patients can also …
INTRODUCTION: A negative "sliding sign" during transvaginal sonography (TVS) is associated with pouch of Douglas (POD) obliteration at laparoscopy in women with suspected endometriosis. The aim of the current study was to develop and valida…
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-/intraobserv…
To determine whether the presence of transvaginal sonographic (TVS) soft markers of ovarian mobility, site specific tenderness (SST) are significantly associated with endometriosis type and location at surgery. Multicentre prospective obser…
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…
We read with interest the comments from Noventa et al. regarding the difficulty in identifying the best ‘first-line’ approach for the diagnosis of site-specific deep infiltrating endometriosis (DIE) of the posterior compartment. Indeed, the…