The ‘sliding sign’ in conjunction with sonovaginography: is this the optimal approach for the diagnosis of Pouch of Douglas obliteration and posterior compartment deep infiltrating endometriosis?
review
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⤵ 14 in-corpus citations
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This review details the evolution of transvaginal ultrasound for posterior compartment deep infiltrating endometriosis and explores the 'sliding sign' combined with sonovaginography as a potentially optimal diagnostic approach.
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Abstract
Abstract Introduction : Endometriosis is a chronic peritoneal disease that may progress as a deep infiltrating lesion involving the posterior compartment of the pelvis. Efforts to improve pre‐operative knowledge of the location and extent of these lesions have resulted in the development of Transvaginal ultrasound (TVS) as the first‐line imaging modality for extra‐ovarian endometriosis. However, various techniques of TVS have been described in the literature for this purpose. Methods : In this review we will detail the evolution of TVS as the primary imaging modality in the pre‐operative diagnosis of posterior compartment deep infiltrating endometriosis (DIE). We will also discuss the potential of an emerging new real‐time diagnostic ultrasound‐based technique known as the ‘sliding sign’ in combination with office gel sonovaginography for the pre‐operative diagnosis of Pouch of Douglas obliteration and posterior compartment DIE. Conclusion : Implementation of the new real‐time dynamic, reproducible and simple ‘sliding sign’ in conjunction with SVG has the potential to challenge the current concept that traditional laparoscopy is the ‘gold standard’ modality for the diagnosis of women with posterior compartment DIE.
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Cited by (14)
- The Sonographic Sliding Sign: can it predict the need for open as opposed to minimally invasive surgery, a case report 2021
- Brief Review of Endometriosis and the Role of Trace Elements 2021
- Sliding sign and gel sonovaginography: A sneak peek prior to laparoscopy in patients with endometriosis 2020
- The Association Between Gastrointestinal Symptoms and Transvaginal Ultrasound Findings in Women Referred for Endometriosis Evaluation: A Prospective Pilot Study 2020
- <scp>One‐Size‐Fits‐All</scp> Approach Does Not Work for Gynecology Trainees Learning Endometriosis Ultrasound Skills 2020
- Performance of ultrasound‐based endometriosis staging system (<scp>UBESS</scp>) for predicting level of complexity of laparoscopic surgery for endometriosis 2016
- Gel Sonovaginography 2016
- Diagnostic laparoscopy in pre‐surgical planning for higher stage endometriosis: Is it still relevant? 2016
- Integrating the concept of advanced gynaecological imaging for endometriosis 2015
- Systematic Evaluation of Women With Suspected Endometriosis Using a 5‐Domain Sonographically Based Approach 2015
- Interpreting the real-time dynamic ‘sliding sign’ and predicting pouch of Douglas obliteration: an interobserver, intraobserver, diagnostic-accuracy and learning-curve study 2015
- Capacity building in endometriosis ultrasound: are we there yet? 2015
- Relating historical variables at first presentation with operative findings at laparoscopy for endometriosis 2014
- Consensus on current management of endometriosis 2013
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- pubmed
- last seen: 2026-05-13T22:18:53.335890+00:00
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