We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Diagnosis of endometriotic lesions by sonovaginography with ultrasound gel.
- Authors
Brătilă, Elvira; Comandaşu, Diana-Elena; Coroleucă, Ciprian; Cîrstoiu, Monica Mihaela; Berceanu, Costin; Mehedintu, Claudia; Bratila, Petre; Vladareanu, Simona
- Abstract
<bold>Aims: </bold>The aim of the study was to evaluate the diagnostic ability of sonovaginography (SVG) with ultrasound gel in patients with endometriosis.<bold>Material and Methods: </bold>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.<bold>Results: </bold>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).<bold>Conclusions: </bold>SGV with ultrasound gel represents a useful investigation tool for the evaluation of endometriotic lesions in the posterior pelvic compartment.
- Subjects
ROMANIA; DIAGNOSIS of endometriosis; TRANSVAGINAL ultrasonography; THERAPEUTIC use of ultrasonic imaging; DIAGNOSTIC imaging; HEALTH outcome assessment; COMPARATIVE studies; ENDOMETRIOSIS; ENDOSCOPIC ultrasonography; RESEARCH methodology; MEDICAL cooperation; RESEARCH; RESEARCH evaluation; RISK assessment; VAGINAL diseases; VAGINAL medication; EVALUATION research; DISEASE prevalence
- Publication
Medical Ultrasonography, 2016, Vol 18, Issue 4, p469
- ISSN
1844-4172
- Publication type
journal article
- DOI
10.11152/mu-875