TY - JOUR
T1 - Transvaginal ultrasonography combined with water-contrast in the rectum in the diagnosis of rectovaginal endometriosis infiltrating the bowel
AU - Menada, Mario Valenzano
AU - Remorgida, Valentino
AU - Abbamonte, Luiza Helena
AU - Fulcheri, Ezio
AU - Ragni, Nicola
AU - Ferrero, Simone
PY - 2008/3
Y1 - 2008/3
N2 - This prospective study evaluated the efficacy of transvaginal ultrasonography combined with water-contrast in the rectum (RWC-TVS) in the diagnosis of rectal infiltration in 35 women with rectovaginal endometriosis; ultrasonographic findings were compared with surgery and histology. The sensitivity of RWC-TVS in identifying rectal infiltration reaching at least the muscular layer was 100%, the specificity was 85.7%, the positive predictive value was 91.3%, and the negative predictive value was 100%. In 4 of 5 (80.0%) nodules reaching the submucosa, the depth of infiltration was underestimated by RWC-TVS. The RWC-TVS reliably determined the largest diameter of the endometriotic nodules and was well tolerated by the patients.
AB - This prospective study evaluated the efficacy of transvaginal ultrasonography combined with water-contrast in the rectum (RWC-TVS) in the diagnosis of rectal infiltration in 35 women with rectovaginal endometriosis; ultrasonographic findings were compared with surgery and histology. The sensitivity of RWC-TVS in identifying rectal infiltration reaching at least the muscular layer was 100%, the specificity was 85.7%, the positive predictive value was 91.3%, and the negative predictive value was 100%. In 4 of 5 (80.0%) nodules reaching the submucosa, the depth of infiltration was underestimated by RWC-TVS. The RWC-TVS reliably determined the largest diameter of the endometriotic nodules and was well tolerated by the patients.
KW - Diagnosis
KW - laparoscopy
KW - rectal endometriosis
KW - transvaginal ultrasonography
UR - http://www.scopus.com/inward/record.url?scp=40249116831&partnerID=8YFLogxK
U2 - 10.1016/j.fertnstert.2007.07.1336
DO - 10.1016/j.fertnstert.2007.07.1336
M3 - Article
SN - 0015-0282
VL - 89
SP - 699
EP - 700
JO - Fertility and Sterility
JF - Fertility and Sterility
IS - 3
ER -