Transvaginal ultrasonography combined with water-contrast in the rectum in the diagnosis of rectovaginal endometriosis infiltrating the bowel

Mario Valenzano Menada, Valentino Remorgida, Luiza Helena Abbamonte, Ezio Fulcheri, Nicola Ragni, Simone Ferrero

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish
Pages (from-to)699-700
Number of pages2
JournalFertility and Sterility
Volume89
Issue number3
DOIs
Publication statusPublished - Mar 2008

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Keywords

  • Diagnosis
  • laparoscopy
  • rectal endometriosis
  • transvaginal ultrasonography

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

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