Diagnostic accuracy of transvaginal sonography for deep pelvic endometriosis

M Bazot, Marc Bazot, I Thomassin, Isabelle Thomassin, Roula Hourani, R Hourani, A Cortez, E Darai, Émile Daraï
Ultrasound in Obstetrics & Gynecology · 2004 · vol. 24(2) , pp. 180–185 · doi:10.1002/uog.1108 · PMID:15287057 · W2060269646
article OA: bronze CC0 ⤵ 260 in-corpus citations
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Transvaginal sonography accurately diagnoses intestinal and bladder endometriosis but is less accurate for uterosacral, vaginal, and rectovaginal septum involvement, with overall sensitivity and specificity of 78.5% and 95.2% for deep pelvic endometriosis.

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Abstract

OBJECTIVE: To determine the accuracy of transvaginal sonography (TVS) for the diagnosis of deep pelvic endometriosis. METHODS: In a prospective study, 142 women with clinical signs of endometriosis underwent TVS followed by surgical and histopathological investigations. The presence and extent of endometriosis involving the uterosacral ligaments, vagina, rectovaginal septum, intestines, bladder and ovaries shown by TVS were compared with surgical and histological findings. The sensitivity, specificity, predictive values and accuracy of TVS for predicting deep pelvic endometriosis were assessed. RESULTS: Ovarian and deep pelvic endometriosis were found by surgery and histology in respectively 83 (58.5%) and 79 (55.6%) of the 142 patients. The sensitivity, specificity, and positive and negative predictive values of TVS for the diagnosis of deep pelvic endometriosis were 78.5%, 95.2%, 95.4% and 77.9%, respectively. The sensitivity and specificity of TVS for endometriotic involvement of the uterosacral ligaments, vagina, rectovaginal septum and intestines were 70.6% and 95.9%, 29.4% and 100%, 28.6% and 99.3%, and 87.2% and 96.8%, respectively. The sensitivity and specificity of TVS for bladder involvement were 71.4% and 100%, respectively. CONCLUSION: TVS accurately diagnoses intestinal and bladder endometriosis, but is less accurate for uterosacral, vaginal and rectovaginal septum involvement.

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Condition tags

endometriosisbladder_endometriosis

MeSH descriptors

Endometriosis Genital Diseases, Female Intestinal Diseases Adult Aged Endometriosis Endometriosis Female Genital Diseases, Female Genital Diseases, Female Humans Intestinal Diseases Intestinal Diseases Middle Aged Predictive Value of Tests Prospective Studies Sensitivity and Specificity Ultrasonography, Doppler, Color Ultrasonography, Doppler, Color Urinary Bladder Diseases

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (26)

Cited by (50)

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