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

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

1 “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 (November 2007) DOI: /j.fertnstert Copyright © 2007 American Society for Reproductive Medicine Terms and Conditions

2 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  , DOI: ( /j.fertnstert ) Copyright © 2007 American Society for Reproductive Medicine Terms and Conditions

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

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

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

6 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  , DOI: ( /j.fertnstert ) Copyright © 2007 American Society for Reproductive Medicine Terms and Conditions


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