The ultrasound perspective of the diagnosis of deep endometriosis

In: Multidisciplinary Perspectives: Integrating Knowledge · 2024 · doi:10.56238/sevened2024.007-011 · W4393077519
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Transvaginal ultrasound with bowel preparation demonstrated diagnostic utility for deep endometriosis in patients with menstrual disorders and pain, offering an accessible and cost-effective alternative.

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The paper discusses the diagnostic role of vaginal ultrasonography with bowel preparation (USGTVPI) for deep endometriosis, comparing it conceptually to other investigation methods in the context of chronic pelvic pain and infertility. Data were collected from 14 patients treated at a gynecological surgery outpatient clinic in 2022–2023, and deep endometriosis diagnosis via USGTVPI was reported in many patients who had menstruation disorders and pain complaints. The authors emphasize that USGTVPI has statistically similar detection of deep endometriosis to other available approaches, while noting the higher costs of alternative diagnostic options such as laparoscopy and contrast-enhanced pelvic MRI. This paper is centrally about endometriosis—specifically the ultrasound diagnosis of deep endometriosis.

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Abstract

Endometriosis is one of the main conditions causing chronic pelvic pain and infertility in the female population worldwide¹, affecting and negatively impacting quality of life in several age groups. The process of diagnostic investigation of endometriosis is challenging, especially in the public health network since it is extremely costly¹¹. Among the available methods, vaginal ultrasound with bowel preparation (USGTVPI) has statistically similar detection of deep endometriosis. Data were collected from 14 (fourteen) patients treated at the Gynecological Surgery outpatient clinic of the Regional Hospital of Taguatinga (HRT) in 2022 and 2023. When analyzing the results of the questionnaire, it is noted that deep endometriosis was diagnosed via USGTVPI in many patients with menstruation disorders and pain complaints. In this context, the USGTVPI emerges as a great possibility in the technological arsenal to aid in the perception of pelvic lesions, considering that it is an easily accessible and less expensive method than other available methods, such as laparoscopic laparotomy and contrast-enhanced pelvic MRI. At this juncture, there is a need to discuss the insertion of the method as an alternative diagnosis of the pathology, especially in the Unified Health System (SUS).
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The ultrasound perspective of the diagnosis of deep endometriosis Keywords: Ultrasonography with bowel preparation, Ultrasound with bowel preparation, Magnetic resonance imaging of the pelvis, Endometriosis, Deep endometriosisAbstract Endometriosis is one of the main conditions causing chronic pelvic pain and infertility in the female population worldwide¹, affecting and negatively impacting quality of life in several age groups. The process of diagnostic investigation of endometriosis is challenging, especially in the public health network since it is extremely costly¹¹. Among the available methods, vaginal ultrasound with bowel preparation (USGTVPI) has statistically similar detection of deep endometriosis. Data were collected from 14 (fourteen) patients treated at the Gynecological Surgery outpatient clinic of the Regional Hospital of Taguatinga (HRT) in 2022 and 2023. When analyzing the results of the questionnaire, it is noted that deep endometriosis was diagnosed via USGTVPI in many patients with menstruation disorders and pain complaints. In this context, the USGTVPI emerges as a great possibility in the technological arsenal to aid in the perception of pelvic lesions, considering that it is an easily accessible and less expensive method than other available methods, such as laparoscopic laparotomy and contrast-enhanced pelvic MRI. At this juncture, there is a need to discuss the insertion of the method as an alternative diagnosis of the pathology, especially in the Unified Health System (SUS). Downloads Published Issue Section License Copyright (c) 2024 Kelvin Augusto Leite Freitas, Izabela Silva Rezende, Cássia Lorena de Oliveira Leite e Freitas, Cynthia Roberta Torres de Barros , Raquel Meirelles Gaspar Coelho Guimarães This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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Condition tags

endometriosischronic_pelvic_paininfertility

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Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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