Rectovaginal endometriosis – a frequently missed diagnosis
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A retrospective study found that rectovaginal endometriosis was missed in 14 out of 16 diagnosed cases during previous laparoscopies, suggesting routine use of rectal probes could improve diagnosis.
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Abstract
To assess the proportion of women found to have rectovaginal endometriosis who underwent a previous laparoscopy with negative findings, a 5-year retrospective observational study was carried out at the University Hospital of Wales, Cardiff UK, from 2001 to 2005. A total of 61 cases with potential symptoms of rectovaginal endometriosis who underwent laparoscopy were identified. Rectovaginal endometriosis was identified in 16 of these cases. Previous laparoscopy was carried out in 33 of these 61 cases. In the group of women found to have rectovaginal endometriosis, 14 cases of rectovaginal endometriosis were not identified by pre-referral laparoscopy. This study supports the anecdotal idea that rectovaginal endometriosis is an often missed diagnosis at the time of laparoscopy. Diagnostic laparoscopy by generalist gynaecologists frequently fails to diagnose rectovaginal endometriosis. The routine use of rectal probes at laparoscopy is recommended to increase diagnostic accuracy.
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- Prevalence of deep and ovarian endometriosis in women attending a general gynecology clinic: prospective cohort study 2023
- Pelvic pain comorbidities associated with quality of life after endometriosis surgery 2023
- Regarding "Intraoperative Detection of Rectosigmoid Endometriosis" 2023
- Surgical management of ill-defined perineal endometriosis involving anal sphincter: a case report 2022
- 'Seeing is believing': arguing for diagnostic laparoscopy as a diagnostic test for endometriosis 2022
- miR 31-3p Has the Highest Expression in Cesarean Scar Endometriosis 2022
- Malignant Transformation of Postmenopausal Endometriosis: A Systematic Review of the Literature 2021
- Systematic evaluation of endometriosis by transvaginal ultrasound can accurately replace diagnostic laparoscopy, mainly for deep and ovarian endometriosis 2021
- Bowel preparation prior to transvaginal ultrasound improves detection of rectosigmoid deep infiltrating endometriosis and is well tolerated: prospective study of women with suspected endometriosis without surgical criteria 2020
- Superficial Peritoneal Endometriosis: Clinical Characteristics of 203 Confirmed Cases and 1292 Endometriosis-Free Controls 2020
- Bowel Preparation Improves the Accuracy of Transvaginal Ultrasound in the Diagnosis of Rectosigmoid Deep Infiltrating Endometriosis: A Prospective Study 2017
- Susceptibility-weighted magnetic resonance imaging for the evaluation of deep infiltrating endometriosis: preliminary results 2015
- Value of diagnostic procedures in rectovaginal endometriosis 2013
- Surgical Therapies: Principles and Triage in Endometriosis 2011
- Ultrasound Diagnosis of Pelvic Endometriosis 2011
- Surgical Therapies: Pouch of Douglas and Uterovaginal Pouch Resection for Endometriosis 2011
- Endometriosis of the Posterior Cul-De-Sac: Clinical Presentation and Findings at Transvaginal Ultrasound 2009
- Does transvaginal ultrasonography combined with water-contrast in the rectum aid in the diagnosis of rectovaginal endometriosis infiltrating the bowel? 2008
- Ein kombinierter Operationsansatz zur Therapie der rektovaginalen Endometriose auf der Basis histologischer Befunde 2008
- Endometriosis and irritable bowel syndrome: co‐morbidity or misdiagnosis? 2008
- Histopathology‐based combined surgical approach to rectovaginal endometriosis 2008
- Sonorectovaginography: A New Sonographic Technique for Imaging of the Posterior Compartment of the Pelvis 2008
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