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Uterosacral Ligament Endometriosis

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How to Perform Ultrasonography in Endometriosis

Abstract

Endometriosis occurs in 15–30% of patients with endometriosis and may involve, in descending order of frequency, the uterosacral ligaments (USLs), the pouch of Douglas, the rectosigmoid colon, the rectovaginal septum, the vagina, and the bladder [1, 2]. Considerable diagnostic delay of up to 8 years from presenting symptoms often confers a heavy economic and social price [3–5].

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References

  1. Exacoustos C, Zupi E, Piccione E. Ultrasound imaging for ovarian and deep infiltrating endometriosis. Semin Reprod Med. 2017;35(1):5–24.

    Article  Google Scholar 

  2. Bazot M, Thomassin I, Hourani R, Cortez A, Darai E. Diagnostic accuracy of transvaginal sonography for deep pelvic endometriosis. Ultrasound Obstet Gynecol. 2004;24(2):180–5.

    Article  CAS  Google Scholar 

  3. Dunselman GA, Vermeulen N, Becker C, Calhaz-Jorge C, D’Hooghe T, De Bie B, Heikinheimo O, Horne AW, Kiesel L, Nap A, Prentice A, Saridogan E, Soriano D, Nelen W, European Society of Human Reproduction and Embryology. ESHRE guideline: management of women with endometriosis. Hum Reprod. 2014;29(3):400–12.

    Article  CAS  Google Scholar 

  4. Nisenblat V, Bossuyt PM, Farquhar C, Johnson N, Hull ML. Imaging modalities for the non-invasive diagnosis of endometriosis. Cochrane Database Syst Rev. 2016;(2):CD009591.

    Google Scholar 

  5. Nisenblat V, Prentice L, Bossuyt PM, Farquhar C, Hull ML, Johnson N. Combination of the non-invasive tests for the diagnosis of endometriosis. Cochrane Database Syst Rev. 2016;(7):CD012281.

  6. Volpi E, Ferrero A, Sismondi P. Laparoscopic identification of pelvic nerves in patients with deep infiltrating endometriosis. Surg Endosc. 2004;18(7):1109–12.

    Article  CAS  Google Scholar 

  7. Chapron C, Barakat H, Fritel X, Dubuisson JB, Bréart G, Fauconnier A. Presurgical diagnosis of posterior deep infiltrating endometriosis based on a standardized questionnaire. Hum Reprod. 2005;20(2):507–13.

    Article  CAS  Google Scholar 

  8. Hudelist G, Oberwinkler KH, Singer CF, Tuttlies F, Rauter G, Ritter O, Keckstein J. Combination of transvaginal sonography and clinical examination for preoperative diagnosis of pelvic endometriosis. Hum Reprod. 2009;24(5):1018–24.

    Article  CAS  Google Scholar 

  9. Guerriero S, Ajossa S, Gerada M, D’Aquila M, Piras B, Melis GB. “Tenderness-guided” transvaginal ultrasonography: a new method for the detection of deep endometriosis in patients with chronic pelvic pain. Fertil Steril. 2007;88(5):1293–7.

    Article  Google Scholar 

  10. Guerriero S, Ajossa S, Gerada M, Virgilio B, Angioni S, Melis GB. Diagnostic value of transvaginal ‘tenderness-guided’ ultrasonography for the prediction of location of deep endometriosis. Hum Reprod. 2008;23(11):2452–7.

    Article  Google Scholar 

  11. Reid S, Lu C, Casikar I, Reid G, Abbott J, Cario G, Chou D, Kowalski D, Cooper M, Condous G. Prediction of pouch of Douglas obliteration in women with suspected endometriosis using a new real-time dynamic transvaginal ultrasound technique: the sliding sign. Ultrasound Obstet Gynecol. 2013;41(6):685–91.

    Article  CAS  Google Scholar 

  12. Reid S, Lu C, Casikar I, Mein B, Magotti R, Ludlow J, Benzie R, Condous G. The prediction of pouch of Douglas obliteration using offline analysis of the transvaginal ultrasound ‘sliding sign’ technique: inter- and intra-observer reproducibility. Hum Reprod. 2013;28(5):1237–46.

    Article  CAS  Google Scholar 

  13. Saccardi C, Cosmi E, Borghero A, Tregnaghi A, Dessole S, Litta P. Comparison between transvaginal sonography, saline contrast sonovaginography and magnetic resonance imaging in the diagnosis of posterior deep infiltrating endometriosis. Ultrasound Obstet Gynecol. 2012;40:464–9.

    Article  CAS  Google Scholar 

  14. Reid S, Lu C, Hardy N, Casikar I, Reid G, Cario G, Chou D, Almashat D, Condous G. Office gel sonovaginography for the prediction of posterior deep infiltrating endometriosis: a multicenter prospective observational study. Ultrasound Obstet Gynecol. 2014;44:710–8.

    Article  CAS  Google Scholar 

  15. Koga K, Osuga Y, Yano T, Momoeda M, Yoshino O, Hirota Y, Kugu K, Nishii O, Tsutsumi O, Taketani Y. Characteristic images of deeply infiltrating rectosigmoid endometriosis on transvaginal and transrectal ultrasonography. Hum Reprod. 2003;18:1328–33.

    Article  Google Scholar 

  16. Pascual MA, Guerriero S, Hereter L, Barri-Soldevila P, Ajossa S, Graupera B, Rodriguez I. Three-dimensional sonography for diagnosis of rectovaginal septum endometriosis: interobserver agreement. J Ultrasound Med. 2013;32(6):931–5.

    Article  Google Scholar 

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Leone, F.P.G. (2018). Uterosacral Ligament Endometriosis. In: Guerriero, S., Condous, G., Alcázar, J.L. (eds) How to Perform Ultrasonography in Endometriosis. Springer, Cham. https://doi.org/10.1007/978-3-319-71138-6_9

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  • DOI: https://doi.org/10.1007/978-3-319-71138-6_9

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-71137-9

  • Online ISBN: 978-3-319-71138-6

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