Diagnostic and therapeutic capabilities of ultrasound in the management of pelvic pain

Emeka Okaro, Okaro E, Condous G, George Condous
Current opinion in obstetrics & gynecology · 2005 · doi:10.1097/01.gco.0000191902.07439.19 · PMID:16258344
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This review highlights that transvaginal ultrasound accurately diagnoses deep infiltrating endometriosis using specific markers and offers a surgical alternative for adnexal masses through guided aspiration and sclerosant instillation.

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This review article evaluates the diagnostic and therapeutic utility of ultrasound technology in managing pelvic pain. It highlights that recent technological advances allow for the accurate identification of both gynecological and non-gynecological pathologies, with specific emphasis on using hard and soft markers to diagnose peritoneal and deep infiltrating endometriosis. The authors note that operator experience is critical for accurately characterizing these disorders and that ultrasound-guided procedures offer a viable surgical alternative for certain adnexal masses. This paper is centrally about endometriosis — specifically noting its role in diagnosing peritoneal and deep infiltrating lesions via ultrasound markers.

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Abstract

PURPOSE OF REVIEW: This review discusses the current diagnostic and therapeutic role of ultrasound in the management of pelvic pain. RECENT FINDINGS: Recent advances in ultrasound technology and expertise have facilitated the accurate diagnosis of common gynaecological and nongynaecological pathologies. Peritoneal and deep infiltrating endometriosis can now be diagnosed using hard and soft ultrasound-based markers. The combination of ultrasound-guided aspiration and instillation of a sclerosant is an alternative to surgery in the management of adnexal masses. SUMMARY: Experience is a key factor in the ability of transvaginal ultrasound to characterize common gynaecological disorders with accuracy. Therapeutic ultrasound provides an alternative to surgery.
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Women's health Diagnostic and therapeutic capabilities of ultrasound in the management of pelvic pain - Emeka Okaro - George Condous Current Opinion in Obstetrics & Gynecology 17(6):p 611-617, December 2005. | DOI: 10.1097/01.gco.0000191902.07439.19 Purpose of review This review discusses the current diagnostic and therapeutic role of ultrasound in the management of pelvic pain. Recent findings Recent advances in ultrasound technology and expertise have facilitated the accurate diagnosis of common gynaecological and nongynaecological pathologies. Peritoneal and deep infiltrating endometriosis can now be diagnosed using hard and soft ultrasound-based markers. The combination of ultrasound-guided aspiration and instillation of a sclerosant is an alternative to surgery in the management of adnexal masses. Summary Experience is a key factor in the ability of transvaginal ultrasound to characterize common gynaecological disorders with accuracy. Therapeutic ultrasound provides an alternative to surgery. Copyright © 2005 Lippincott Williams & Wilkins, Inc.

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Condition tags

chronic_pelvic_painendometriosisdie_deep_infiltrating

MeSH descriptors

Pelvic Pain Female Humans Pelvic Pain Pelvic Pain Pelvic Pain Ultrasonography, Interventional

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