Routine clinical examination is not sufficient for diagnosing and locating deeply infiltrating endometriosis

Charles Chapron, Jean Bernard Dubuisson, Valeiria Pansini, Marco Vieira, Arnaud Fauconnier, Habib Barakat, Bertrand Dousset

Research output: Contribution to journalArticlepeer-review

Abstract

Study Objective. To determine whether routine clinical examination is sufficient for the diagnosis and establishing the location of deeply infiltrating endometriosis (DIE). Design. Retrospective analysis (Canadian Task Force classification 11-2). Setting. University-affiliated hospital. Patients. One hundred sixty women with histologically proved deeply infiltrating endometriosis. Measurements and Main Results. Speculum examination allowed endometriotic lesions to be viewed in only 14.4% (23) of patients, and a classic, painful, spheric nodule was palpated in only 43.1% (69). Results of routine clinical examination varied significantly with location of DIE. Whereas a nodule was found in 80.0% (24) of patients with vaginal endometriosis, this rate dropped to only 35.3% (6) and 33.3% (34) in those with DIE of the digestive tract and uterosacral ligaments, respectively (p

Original languageEnglish
Pages (from-to)115-119
Number of pages5
JournalAmerican Association of Gynecologic Laparoscopists
Volume9
Issue number2
DOIs
Publication statusPublished - 2002

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

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