Endometriose – Wertigkeit der klinischen und transvaginal-Ultraschall (TVS) Untersuchung zur präoperativen Diagnosestellung

The study investigated the diagnostic value of clinical bimanual examination and transvaginal ultrasound (TVS) for preoperative detection of endometriosis-related lesions in 70 women with endometriosis-associated symptoms, using histologically verified findings after (at least partially) radical laparoscopic resection as the reference. Clinically, sensitivity was inadequate for several sites, especially adnexal, bladder, and intestinal/rectosigmoid involvement, whereas adding TVS substantially improved detection rates across sites including adnexa, bladder, vagina, and particularly bowel lesions. The paper reports site-specific sensitivities, specificities, and predictive values for clinical exam alone, TVS alone, and combined assessment, with combined use providing the most reliable inference of infiltrative pelvic endometriosis. This paper is centrally about endometriosis — it quantifies how clinical examination and TVS (alone and combined) support preoperative diagnosis of infiltrative lesions.

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