Transvaginal ultrasonography combined with water-contrast in the rectum in the diagnosis of rectovaginal endometriosis infiltrating the bowel.

Abstract:

:This prospective study evaluated the efficacy of transvaginal ultrasonography combined with water-contrast in the rectum (RWC-TVS) in the diagnosis of rectal infiltration in 35 women with rectovaginal endometriosis; ultrasonographic findings were compared with surgery and histology. The sensitivity of RWC-TVS in identifying rectal infiltration reaching at least the muscular layer was 100%, the specificity was 85.7%, the positive predictive value was 91.3%, and the negative predictive value was 100%. In 4 of 5 (80.0%) nodules reaching the submucosa, the depth of infiltration was underestimated by RWC-TVS. The RWC-TVS reliably determined the largest diameter of the endometriotic nodules and was well tolerated by the patients.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Menada MV,Remorgida V,Abbamonte LH,Fulcheri E,Ragni N,Ferrero S

doi

10.1016/j.fertnstert.2007.07.1336

subject

Has Abstract

pub_date

2008-03-01 00:00:00

pages

699-700

issue

3

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(07)02988-3

journal_volume

89

pub_type

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