Modified Ultrasonographic Techniques

Nowadays, transvaginal ultrasonography (TVS) is the first-line investigation in women with suspicion of deep infiltrating endometriosis (DE). However, TVS diagnostic accuracy is dependent on the experience of the sonographers and may be improved by distending the vagina and/or rectum with saline solution or gel. These modified ultrasound techniques may be useful when the findings of TVS are inconclusive or when the sonographers have limited experience in the diagnosis of DE. This chapter will describe the most commonly modified ultrasound techniques used in the diagnosis of DE including tenderness-guided transvaginal ultrasonography (tg-TVS), sonovaginography (SVG), rectal water contrast transvaginal ultrasonography (RWC-TVS), and three-dimensional rectosonography (3D-RSG). Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others

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The patient was treated by segmental resection (Fig. 14.13) (MOV 31786 kb) Sonovaginography with gel. An assistant holds the bottle of gel with its mouth facing downward. The syringe is introduced into the lower part of the inverted bottle. The plunger is held steady in position, and the barrel (outer sleeve) is slowly pushed farther up into the inverted bottle of gel to fill the syringe with 20 mL of gel [6] (MOV 132000 kb) Rights and permissions Copyright information © 2018 Springer International Publishing AG, part of Springer Nature About this chapter Cite this chapter Ferrero, S., Maggiore, U.L.R., Barra, F., Scala, C. (2018). Modified Ultrasonographic Techniques. In: Guerriero, S., Condous, G., Alcázar, J.L. (eds) How to Perform Ultrasonography in Endometriosis. Springer, Cham. https://doi.org/10.1007/978-3-319-71138-6_14 Download citation DOI: https://doi.org/10.1007/978-3-319-71138-6_14 Published: Publisher Name: Springer, Cham Print ISBN: 978-3-319-71137-9 Online ISBN: 978-3-319-71138-6 eBook Packages: MedicineMedicine (R0)