Diagnosis of endometriotic lesions by sonovaginography with ultrasound gel.

Abstract:

AIMS:The aim of the study was to evaluate the diagnostic ability of sonovaginography (SVG) with ultrasound gel in patients with endometriosis. MATERIAL AND METHODS:We conducted a multicentre prospective study, which included 193 patients with symptoms highly suggestive for endometriosis. All patients were investigated by transvaginal sonography and SVG with gel and afterwards underwent laparoscopic surgery. For each category of endometriotic lesions investigated, we calculated and compared the sensitivity, specificity,  positive predictive value and negative predictive value of the imagisticinvestigations used. RESULTS:In the case of endometriotic lesions of the uterosacral ligaments, SVG with gel had a sensitivity of 78.5% and a specificity of 96% (p=ns). The lesions of the vagina and rectovaginal septum were diagnosed with a sensitivity of 79%, respectively 94% (p=ns), obtaining a specificity of 99%, respectively of 97% (p=0.007). The lesions of the Douglas pouch were identified with a sensitivity of 81% (p=0.015), and those of the rectosigmoid with a 94% sensitivity (p=0.010). We obtained lower sensitivity (67%) in detecting the lesions of the urinary bladder (p=ns). CONCLUSIONS:SGV with ultrasound gel represents a useful investigation tool for the evaluation of endometriotic lesions in the posterior pelvic compartment.

journal_name

Med Ultrason

journal_title

Medical ultrasonography

authors

Brătilă E,Comandaşu DE,Coroleucă C,Cîrstoiu MM,Berceanu C,Mehedintu C,Bratila P,Vladareanu S

doi

10.11152/mu-875

subject

Has Abstract

pub_date

2016-12-05 00:00:00

pages

469-474

issue

4

eissn

1844-4172

issn

2066-8643

journal_volume

18

pub_type

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