“Tenderness-guided” transvaginal ultrasonography: a new method for the detection of deep endometriosis in patients with chronic pelvic pain Stefano Guerriero,

Slides:

Advertisements

Similar presentations

What’s the delay? A qualitative study of women’s experiences of reaching a diagnosis of endometriosis Karen Ballard, Ph.D., Karen Lowton, Ph.D., Jeremy.

Advertisements

An Coosemans, M. D. , Philippe Moerman, M. D. , Ph. D

Diagnosis of deep endometriosis: clinical examination, ultrasonography, magnetic resonance imaging, and other techniques Marc Bazot, M.D., Emile Daraï,

Complete septate uterus with longitudinal vaginal septum

Hyacinth N. Browne, M.D., Richard Sherry, M.D., Pamela Stratton, M.D.

The antiandrogenic effect of flutamide improves uterine perfusion in women with polycystic ovary syndrome Silvia Ajossa, M.D., Stefano Guerriero, M.D.,

Soyoung Bae, M.D., Joseph Karnitis, M.D. Fertility and Sterility

Anton Langebrekke, M.D., Erik Qvigstad, M.D., Ph.D.

Akanksha Mehta, M.D., Mark Sigman, M.D. Fertility and Sterility

Christine Jablonski, M. D. , Marco Alifano, M. D

Fernando Zegers-Hochschild, M.D. Fertility and Sterility

Paolo Vercellini, M.D., Laura Buggio, M.D., Edgardo Somigliana, M.D.

Michael M. Alper, M.D. Fertility and Sterility

Lymph node involvement and lymphovascular invasion in deep infiltrating rectosigmoid endometriosis Jean-Christophe Noël, M.D., Charles Chapron, M.D.,

Hepatitis and reproduction

Relation between anatomical courses of the intramural portions of the uterine tubes and pelvic endometriosis Stanislaw Rozewicki, M.D., Ph.D., Anna Radomska,

Conservative management of cervical ectopic pregnancy

Can an educational DVD improve the acceptability of elective single embryo transfer? A randomized controlled study Nicole Hope, M.B., B.S., Hon., Luk.

Gilad Karavani, M. D. , Assaf Ben-Meir, M. D. , Yoel Shufaro, M. D

Use of an endoscopic ultrasound probe for the evaluation of the Müllerian rudiments in patients with Rokitansky syndrome Luigi Fedele, M.D., Stefano.

A pregnancy complicated by endometrial scarring

How old is too old? Challenges faced by clinicians concerning age cutoffs for patients undergoing in vitro fertilization Robert L. Klitzman, M.D. Fertility.

Elizabeth Taylor, M.D., Christina Williams, M.D.

Transurethral partial cystectomy and laparoscopic reconstruction for the management of bladder endometriosis See-Tong Pang, M.D., Ph.D., Angel Chao,

Fabio Ghezzi, M. D. , Luigi Raio, M. D. , Antonella Cromi, M. D

Florid endometriosis in a postmenopausal woman

Oocyte cryopreservation

Urinary tract endometriosis in patients with deep infiltrating endometriosis: prevalence, symptoms, management, and proposal for a new clinical classification

Leiomyoma on the septum of a septate uterus with double cervix and vaginal septum: a challenge to manage Eray Caliskan, M.D., Yiğit Cakiroglu, M.D.,

Roberto Angioli, M. D. , Cleonice Battista, M. D

Intraoperative and postoperative lower genital tract changes after global endometrial ablation using the Hydro ThermAblator® device Martin Farrugia,

Treatment of symptomatic rectovaginal endometriosis with an estrogen–progestogen combination versus low-dose norethindrone acetate Paolo Vercellini,

Olivier Donnez, M. D. , Pascale Jadoul, M. D. , Jean Squifflet, M. D

Treatment with leuprolide acetate and hormonal add-back for up to 10 years in stage IV endometriosis patients with chronic pelvic pain Mohamed A. Bedaiwy,

Radiographic and hysteroscopic findings of a placental site nodule

Heterotopic cervical pregnancy treated with transvaginal ultrasound-guided aspiration resulting in cervical site varices within the myometrium Anish.

Patient with pelvic pains: retroperitoneal fibrosis or pelvic endometriosis? A case report and review of literature Antonio Pezzuto, M.D., Paola Pomini,

Patients with severe ovarian hyperstimulation syndrome can be managed safely with aggressive outpatient transvaginal paracentesis Laura P. Smith, M.D.,

Management of tubal ectopic pregnancy: methotrexate and salpingostomy are preferred to preserve fertility Stephanie Beall, M.D., Ph.D., Alan H. DeCherney,

Clomiphene citrate at 50: the dawning of assisted reproduction

Maternal complication of cervical heterotopic pregnancy after successful potassium chloride fetal reduction Cynthia Gyamfi, M.D., Samantha Cohen, B.A.,

Cervical mucus status can be accurately estimated by transvaginal ultrasound during fertility evaluation Igal Wolman, M.D., Tamar Birenbaum Gal, M.D.,

Laparoscopically assisted uterovestibular anastomosis in patients with uterine cervix atresia and vaginal aplasia Luigi Fedele, M.D., Stefano Bianchi,

Akanksha Mehta, M.D., Darius A. Paduch, M.D., Ph.D.

Changes in cytokine levels of patients with ovarian endometriosis after treatment with gonadotropin-releasing hormone analogue, ultrasound-guided drainage,

Unusual case of adenocarcinoma arising in endometriosis mimicking colorectal cancer in a young woman with a Müllerian anomaly Michele Peiretti, M.D.,

Image-guided drainage versus antibiotic-only treatment of pelvic abscesses: short-term and long-term outcomes Justin To, M.D., Diana Aldape, M.D., Andrei.

The forgotten coil Fertility and Sterility

Conservative management of nontubal ectopic pregnancies

Interstitial pregnancy

Ovarian endometrioma vascularization in women with pelvic pain

Transient abdominal ovariopexy for adhesion prevention in patients who underwent surgery for severe pelvic endometriosis Jonathan Ouahba, M.D., Patrick.

Postoperative digestive function after radical versus conservative surgical philosophy for deep endometriosis infiltrating the rectum Horace Roman, M.D.,

Fertility and Sterility: an evaluation

Association of endometriosis with body size and figure

Ivan Mazzon, M. D. , Alessandro Favilli, M. D. , Mario Grasso, M. D

Ovarian cystic teratoma with a pathognomonic appearance of multiple floating balls: a case report and investigation of common characteristics of the cases.

Current evaluation of amenorrhea

So-Yeon Kang, M. D. , Byung-Joon Park, M. D. , Yong-Wook Kim, M. D

In vivo feasibility of image-guided transvaginal focused ultrasound therapy for the treatment of intracavitary fibroids Arthur H. Chan, Ph.D., Victor.

Nerve fibers and menstrual cycle in peritoneal endometriosis

In vitro sildenafil citrate use as a sperm motility stimulant

Soluble HLA-G in the peritoneal fluid of women with endometriosis

What’s the delay? A qualitative study of women’s experiences of reaching a diagnosis of endometriosis Karen Ballard, Ph.D., Karen Lowton, Ph.D., Jeremy.

Laparoscopic treatment of pelvic pain associated with minimal and mild endometriosis with use of the Helica Thermal Coagulator Luciano G. Nardo, M.D.,

Cervical pregnancy Fertility and Sterility

What if deep endometriotic nodules and uterine adenomyosis were actually two forms of the same disease? Jacques Donnez, M.D., Ph.D., Marie-Madeleine.

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

Endometrial polyps affect uterine receptivity

Successful treatment of cesarean scar pregnancy using laparoscopically assisted local injection of etoposide with transvaginal ultrasound guidance Ching-Hui.

Presentation transcript:

“Tenderness-guided” transvaginal ultrasonography: a new method for the detection of deep endometriosis in patients with chronic pelvic pain Stefano Guerriero, M.D., Silvia Ajossa, M.D., Marta Gerada, M.D., Marina D'Aquila, M.D., Bruno Piras, M.D., Gian Benedetto Melis, M.D. Fertility and Sterility Volume 88, Issue 5, Pages 1293-1297 (November 2007) DOI: 10.1016/j.fertnstert.2006.12.060 Copyright © 2007 American Society for Reproductive Medicine Terms and Conditions

Figure 1 A normal vaginal wall (triangles) visualized using a stand-off obtained by increasing the amount of ultrasound transmission gel in the probe cover. Guerriero. Deep endometriosis and TVUS. Fertil Steril 2007. Fertility and Sterility 2007 88, 1293-1297DOI: (10.1016/j.fertnstert.2006.12.060) Copyright © 2007 American Society for Reproductive Medicine Terms and Conditions

Figure 2 An endometriotic nodule (triangles) in the vaginal wall near the cervix. Guerriero. Deep endometriosis and TVUS. Fertil Steril 2007. Fertility and Sterility 2007 88, 1293-1297DOI: (10.1016/j.fertnstert.2006.12.060) Copyright © 2007 American Society for Reproductive Medicine Terms and Conditions

Figure 3 Retrocervical nodule (triangles) involving bowel (asterisk) and the uterine isthmus (U). Guerriero. Deep endometriosis and TVUS. Fertil Steril 2007. Fertility and Sterility 2007 88, 1293-1297DOI: (10.1016/j.fertnstert.2006.12.060) Copyright © 2007 American Society for Reproductive Medicine Terms and Conditions

Figure 4 Two nodules involving the vaginal wall (triangles) and retrocervical region (arrows). Guerriero. Deep endometriosis and TVUS. Fertil Steril 2007. Fertility and Sterility 2007 88, 1293-1297DOI: (10.1016/j.fertnstert.2006.12.060) Copyright © 2007 American Society for Reproductive Medicine Terms and Conditions

Figure 5 A false-positive case. This mass was suspected to be a retrocervical nodule of endometriosis, but intraoperative examination revealed the presence of severe pelvic adhesions in the absence of superficial and deep endometriosis. Guerriero. Deep endometriosis and TVUS. Fertil Steril 2007. Fertility and Sterility 2007 88, 1293-1297DOI: (10.1016/j.fertnstert.2006.12.060) Copyright © 2007 American Society for Reproductive Medicine Terms and Conditions