Diagnosis of endometriotic lesions by sonovaginography with ultrasound gel

Elvira Brătilă, Diana Elena Comandaşu, Ciprian Coroleucă, Monica Mihaela Cîrstoiu, Costin Berceanu, Claudia Mehedintu, Petre Bratila, Simona Vladareanu
Medical ultrasonography · 2016 · doi:10.11152/mu-875 · PMID:27981280
other OA: bronze public-domain-us
🔓 Open OA copy Full text JSON View on PubMed View at publisher
⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

Sonovaginography with ultrasound gel demonstrated high sensitivity and specificity in diagnosing various endometriotic lesions, particularly those in the posterior pelvic compartment.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

⚙ AI-generated deep summary by claude@2026-06, 2026-06-10 · read from full text ⓘ

This multicentre prospective study evaluated the diagnostic performance of sonovaginography (SVG) with ultrasound gel in 193 symptomatic patients highly suggestive of endometriosis, comparing imaging findings from transvaginal sonography and SVG against laparoscopic surgery. SVG with gel showed high specificity for multiple lesion sites, with reported sensitivity around 78–94% for uterosacral ligaments, vagina and rectovaginal septum, Douglas pouch, and rectosigmoid, while urinary bladder lesions had lower sensitivity (67%). The authors note that some site-level comparisons were not statistically significant (e.g., p=ns), indicating variability in diagnostic accuracy across lesion categories. This paper is centrally about endometriosis — it evaluates sonovaginography with ultrasound gel for diagnosing endometriotic lesions in the posterior pelvic compartment.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

Abstract

AIMS: The aim of the study was to evaluate the diagnostic ability of sonovaginography (SVG) with ultrasound gel in patients with endometriosis. MATERIAL AND METHODS: We conducted a multicentre prospective study, which included 193 patients with symptoms highly suggestive for endometriosis. All patients were investigated by transvaginal sonography and SVG with gel and afterwards underwent laparoscopic surgery. For each category of endometriotic lesions investigated, we calculated and compared the sensitivity, specificity,  positive predictive value and negative predictive value of the imagisticinvestigations used. RESULTS: In the case of endometriotic lesions of the uterosacral ligaments, SVG with gel had a sensitivity of 78.5% and a specificity of 96% (p=ns). The lesions of the vagina and rectovaginal septum were diagnosed with a sensitivity of 79%, respectively 94% (p=ns), obtaining a specificity of 99%, respectively of 97% (p=0.007). The lesions of the Douglas pouch were identified with a sensitivity of 81% (p=0.015), and those of the rectosigmoid with a 94% sensitivity (p=0.010). We obtained lower sensitivity (67%) in detecting the lesions of the urinary bladder (p=ns). CONCLUSIONS: SGV with ultrasound gel represents a useful investigation tool for the evaluation of endometriotic lesions in the posterior pelvic compartment.
Full text 1,524 characters · extracted from oa-doi-fallback · 2 sections · click to expand

Abstract

Aims: The aim of the study was to evaluate the diagnostic ability of sonovaginography (SVG) with ultrasound gel in patients with endometriosis. Material and methods: We conducted a multicentre prospective study, which included 193 patients with symptoms highly suggestive for endometriosis. All patients were investigated by transvaginal sonography and SVG with gel and afterwards underwent laparoscopic surgery. For each category of endometriotic lesions investigated, we calculated and compared the sensitivity, specificity, positive predictive value and negative predictive value of the imagistic investigations used. Results: In the case of endometriotic lesions of the uterosacral ligaments, SVG with gel had a sensitivity of 78.5% and a specificity of 96% (p=ns). The lesions of the vagina and rectovaginal septum were diagnosed with a sensitivity of 79%, respectively 94% (p=ns), obtaining a specificity of 99%, respectively of 97% (p=0.007). The lesions of the Douglas pouch were identified with a sensitivity of 81% (p=0.015), and those of the rectosigmoid with a 94% sensitivity (p=0.010). We obtained lower sensitivity (67%) in detecting the lesions of the urinary bladder (p=ns). Conclusions: SGV with ultrasound gel represents a useful investigation tool for the evaluation of endometriotic lesions in the posterior pelvic compartment.

Keywords

DOI: http://dx.doi.org/10.11152/mu-875 Refbacks - There are currently no refbacks.

Text is read by the "Ask this paper" AI Q&A widget below. Extraction quality varies by source — PMC NXML preserves structure cleanly, OA-HTML may include some navigation residue, and OA-PDF can have broken hyphenation. The publisher copy (via DOI) is the canonical version.

My notes (saved in your browser only)

⚙ Ask this paper AI returns verbatim quotes from the full text · source: oa-doi-fallback ⓘ

Answers must be backed by verbatim quotes from this paper's full text. Hallucinated quotes are dropped automatically; if no verbatim passage answers the question, we say so. How this works

Condition tags

endometriosis

MeSH descriptors

Endometriosis Endometriosis Endosonography Vaginal Creams, Foams, and Jellies Vaginal Diseases Vaginal Diseases Adult Endometriosis Endometriosis Endosonography Endosonography Female Humans Image Enhancement Image Enhancement Prevalence Reproducibility of Results Risk Assessment Risk Factors Romania

Citation neighborhood (no data yet)

We don't have any in-corpus citations linked to this paper yet. The paper's references may be in our DB but unresolved to ``paper_id`` (resolution happens at ingest when the cited DOI matches a row we already have). Run the cross-source citation reconcile pass to retry.

Source provenance

europepmc
last seen: 2026-06-11T06:19:48.454388+00:00
pubmed
last seen: 2026-05-13T22:20:43.714878+00:00
unpaywall
last seen: 2026-05-14T19:30:52.867331+00:00
License: public-domain-us · commercial use OK · attribution required
Courtesy of the U.S. National Library of Medicine