Endometriosis: Evaluation of endometriosis in uterosacral ligaments by transrectal ultrasonography

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Transrectal ultrasonography identified thick, irregularly-shaped uterosacral ligaments in endometriosis patients, with thickness correlating to symptom severity.

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Abstract

Uterosacral ligaments are one of the common targets of pelvic endometriosis, which is usually clinically rather than surgically diagnosed. This study was performed to determine if uterosacral ligaments infiltrated by endometriosis could be detected by transrectal ultrasonography. Uterosacral ligaments in non-endometriosis subjects (n = 64) were observed as low echoic homogeneous arcs in both sides of the uterine cervix. Patients who had endometriosis (n = 29) on the ligaments showed thick and irregularly-shaped uterosacral ligaments by the transrectal ultrasound examination. The results also suggested that the thickness of uterosacral ligaments was associated with the clinical symptoms. Transrectal ultrasonography may provide quantitative information to manage patients with infiltrating endometriosis.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Ligaments Uterus Adult Endometriosis Endometriosis Female Humans Ligaments Ligaments Medical Illustration Pain Reference Values Sacrococcygeal Region Ultrasonography Uterus

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europepmc
last seen: 2026-09-04T06:17:57.233406+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
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