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Anterior Compartment Including Ureter

  • Luca SavelliEmail author
  • Maria Cristina Scifo

Abstract

Endometriosis is usually classified into three main forms: ovarian, superficial, and deep infiltrating endometriosis (DIE). The latter is the most severe type of endometriosis and is defined as the presence of endometrial glands and stroma infiltrating a depth of >5 mm beneath the peritoneum [1, 2]. Implants of endometriosis may be supplied by the nerves and lymphatic and blood vessels and are surrounded by a variable amount of collagen fibers and elastin. Infiltration of the urinary tract occurs in approximately 1–2% of patients with endometriosis [3], but its prevalence increases to 19–53% among patients with severe endometriosis, as for those with DIE [4–6].

Supplementary material

Video 8.1

Normal anterior pelvic compartment. Note the sliding of the bladder and uterus. The bladder wall has normal shape and morphology (AVI 4329 kb)

Video 8.2

Normal posterior pelvic compartment. Note the sliding of the rectum and uterus. The vaginal wall, uterosacral ligaments, and anterior rectal wall appear normal and the sliding sign is positive (AVI 8139 kb)

Video 8.3

Transvaginal sagittal scan of the bladder showing a ureteral jet (AVI 254486 kb)

References

  1. 1.
    Koninckx PR, Martin D. Treatment of deeply infiltrating endometriosis. Curr Opin Obstet Gynecol. 1994;6:231–41.CrossRefGoogle Scholar
  2. 2.
    Chapron C, Fauconnier A, Dubuisson JB, Barakat H, Viera M, Breart C. Deep infiltrating endometriosis: relation between severity of dysmenorrhoea and extent of disease. Hum Reprod. 2003;18:760–6.CrossRefGoogle Scholar
  3. 3.
    Berlanda N, Vercellini P, Carmignani L, Aimi G, Amicarelli F, Fedele L. Ureteral and vesical endometriosis. Two different clinical entities sarin the same pathogenesis. Obstet Gynecol Surv. 2009;64:830–42.CrossRefGoogle Scholar
  4. 4.
    Gabriel B, Nassif J, Trompoukis P, Barata S, Wattiez A. Prevalence and management of urinary tract endometriosis: a clinical case series. Urology. 2011;78:1269–74.CrossRefGoogle Scholar
  5. 5.
    Knabben L, Imboden S, Fellmann B, Nirgianakis K, Kuhn A, Mueller MD. Urinary tract endometriosis in patients with deep infiltrating endometriosis: prevalence, symptoms, management and proposal for a new classification. Fertil Steril. 2015;103:147–52.CrossRefGoogle Scholar
  6. 6.
    Chapron C, Fauconnier A, Vierira M, et al. Anatomical distribution of deeply infiltrating endometriosis: surgical implications and pro position for a classification. Hum Reprod. 2003;18:157–61.CrossRefGoogle Scholar
  7. 7.
    Vercellini P, Frontino G, Pietropaolo G, Gattei U, Daguati R, Crosignani PG. Deep endometriosis: definition, pathogenesis, and clinical management. J Am Assoc Gynecol Laparosc. 2004;11:153–61.CrossRefGoogle Scholar
  8. 8.
    Chapron C, Dubuisson JB. Laparoscopic management of bladder endometriosis. Acta Obstet Gynecol Scand. 1999;78:887–90.CrossRefGoogle Scholar
  9. 9.
    Maccagnano C, Pellucchi F, Rocchini L, et al. Ureteral endometriosis: proposal for a diagnostic and therapeutic algorithm with a review of the literature. Urol Int. 2013;91:1–9.CrossRefGoogle Scholar
  10. 10.
    Carfagna P, De Cicco Nardone C, Testa AC, Scambia G, Marana F, De Cicco Nardone F. The role of transvaginal ultrasound in the evaluation of ureteral involvement in deep endometriosis. Ultrasound Obstet Gynecol. 2018;51(4):550–5.CrossRefGoogle Scholar
  11. 11.
    Del Frate C, Girometti R, Pittino M, Del Frate G, Bazzocchi M, Zuiani C. Deep retroperitoneal pelvic endometriosis: MR imaging appearance with laparoscopic correlation. Radiographics. 2006;26:1705–18.CrossRefGoogle Scholar
  12. 12.
    Guerriero S, Condous G, Van den Bossch T, Valentin L, et al. Systematic approach to sonographic evaluation of the pelvis in women with suspected endometriosis, including terms, definitions and measurements: a consensus opinion from the International Deep Endometriosis Analysis (IDEA) group. Ultrasound Obstet Gynecol. 2016;48:318–32.CrossRefGoogle Scholar
  13. 13.
    Kolodziej A, Krajewski W, Dolowy L, Hirnle L. Urinary tract endometriosis. Urol J. 2015;12:2213–7.PubMedGoogle Scholar
  14. 14.
    Savelli L, Manuzzi L, Pollastri P, Mabrouk M, Seracchioli R, Venturoli S. Diagnostic accuracy and potential limitations of transvaginal sonography for bladder endometriosis. Ultrasound Obstet Gynecol. 2009;34:595–600.CrossRefGoogle Scholar
  15. 15.
    Chamié LP, Blasbalg R, Pereira RM, Warmbrand G, Serafini PC. Findings of pelvic endometriosis at transvaginal US, MR imaging, and laparoscopy. Radiographics. 2011;31(4):E77–100.CrossRefGoogle Scholar
  16. 16.
    Manganaro L, Fierro F, Tomei A, Irimia D, Lodise P, Sergi ME, Vinci V, Sollazzo P, Porpora MG, Delfini R, Vittori G, Marini M. Feasibility of 3.0T pelvic MR imaging in the evaluation of endometriosis. Eur J Radiol. 2012;81(6):1381–7.CrossRefGoogle Scholar
  17. 17.
    Thonnon C, Philip CA, Fassi-Fehri H, Bisch C, Coulon A, de Saint-Hilaire P, Dubernard G. Three-dimensional ultrasound in the management of bladder endometriosis. J Minim Invasive Gynecol. 2015;22:403–9.CrossRefGoogle Scholar
  18. 18.
    Bazot M, Thomassin I, Hourani R, Cortez A, Darai E. Diagnostic accuracy of transvaginal sonography for deep pelvic endometriosis. Ultrasound Obstet Gynecol. 2004;24:180–5.CrossRefGoogle Scholar
  19. 19.
    Pateman K, Mavrelos D, Hoo WL, Holland T, Naftalin J, Jurkovic D. Visualization of ureters on standard gynecological transvaginal scan: a feasibility study. Ultrasound Obstet Gynecol. 2013;41:696–701.CrossRefGoogle Scholar
  20. 20.
    Tuma J, Trinkler F, Zát’ura F, Novakova B. Genitourinary ultrasound. In: Dietrich C, editor. EFSUMB (European Federation of Societies for Ultrasound in Medicine and Biology) course book. London: European Federation of Societies for Ultrasound in Medicine and Biology; 2017. p. 275–340. ISBN 978-0-9571581-0-8.Google Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Gynecology and Early Pregnancy Ultrasound Unit, Department of Obstetrics and GynecologyS.Orsola-Malpighi Hospital, University of BolognaBolognaItaly

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