How long does a transvaginal ultrasound examination for endometriosis take in comparison to a routine transvaginal ultrasound examination?
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An endometriosis transvaginal ultrasound (eTVUS) took significantly longer than a routine transvaginal ultrasound (rTVUS), adding an average of 5.4 minutes to the examination time.
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Abstract
Abstract Introduction This study aimed to determine the additional time needed to perform an endometriosis transvaginal ultrasound (eTVUS) compared to routine transvaginal ultrasound (rTVUS). Methods A retrospective case–control study was performed. The study group included 199 eTVUS performed between September 2019 and September 2020. The control group comprised 105 consecutive rTVUS studies performed in the same time period. The time stamps on the ultrasound images of all cases in both groups were reviewed to determine the time taken to perform each study. Mean, median, minimum and maximum scan times for both groups were calculated as was percentage difference between scan times. A two‐tailed, unpaired t‐test of the normalised data and a Mann–Whitney U test assessing time difference of scans between two groups were performed with P value <0.05 considered statistically significant. Results Performing eTVUS took significantly longer than rTVUS with increases in the mean (8.4 vs 13.8 min, 64%), median (7 vs 12 min, 71%), minimum (4 vs 7 min, 75%) and maximum (19 vs 42 min, 121%) scan times. The Mann–Whitney U test indicated a statistically significant difference in the median scan times (5.0, CI 4.0–6.0), P < 0.001. An independent t‐test of the normalised data revealed a significantly larger mean scan time for eTVUS than rTVUS, Mean = 9.05 95%CI [13.17–4.94], t(302) = 4.327, P < 0.001. R 2 = 0.583. Conclusion Endometriosis transvaginal ultrasound added an average 5.4 min to rTVUS, which is statistically significant. For ultrasound departments wanting to offer this technique, doubling the scan time allocated to perform a transvaginal ultrasound (TVUS) is suggested.
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Cited by (8)
- Transvaginal Ultrasound for the Diagnosis of Endometriosis: Current Practices and Barriers in Australian Sonographers 2025
- Unpaired multi-modal training and single-modal testing for detecting signs of endometriosis 2025
- Proposed simplified protocol for initial assessment of endometriosis with transvaginal ultrasound 2024
- Are sonographers the future ‘gold standard’ in the diagnosis of endometriosis? 2024
- CAR Practice Statement on Advanced Pelvic Ultrasound for Endometriosis 2023
- Visualization of sacral nerve roots and sacral plexus on gynecological transvaginal ultrasound: feasibility study 2023
- Advances in Imaging for Assessing Pelvic Endometriosis 2022
- Transvaginal Ultrasound in the Diagnosis and Assessment of Endometriosis—An Overview: How, Why, and When 2022
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- europepmc
- last seen: 2026-06-04T01:30:01.192114+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
- last seen: 2026-05-13T22:23:57.700195+00:00
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