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Chapter 9 - Sonographic Assessment of Pelvic Endometriosis

Published online by Cambridge University Press:  28 February 2020

Kanna Jayaprakasan ,
Lukasz Polanski  and
Kamal Ojha
By
Tom Holland
Kanna Jayaprakasan
Affiliation:
Department of Maternity and Gynaecology, Royal Derby Hospital, Derby
Lukasz Polanski
Affiliation:
Assisted Conception Unit, Guy’s Hospital, London
Kamal Ojha
Affiliation:
Department of Obstetrics and Gynecology, St George's University Hospital, London
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Summary

Endometriosis is a common gynaecological problem, affecting approximately 5 per cent of women . The diagnosis can take many yearsand the condition can cause debilitating pain and infertility. The disease can be found in many sites throughout the pelvis, in particular the ovaries, pelvic peritoneum, pouch of Douglas (POD), rectum, rectosigmoid, rectovaginal septum (RVS), uterosacral ligaments (USLs), vagina and urinary bladder. Mapping of deeply infiltrating disease is essential to enable the correct counselling regarding treatment modalities (medical or surgical) and risks of surgery, triaging to the correct surgical centre, informing the surgeon in order to correctly plan surgery and enabling other specialities, such as colorectal or urology support, to be organized in advance. Magnetic resonance imaging (MRI) has been used as the main pre-operative imaging modality, but with the correct training and experience transvaginal ultrasound can perform the same role .

Type
Chapter
Information
Gynaecological Ultrasound Scanning
Tips and Tricks
 , pp. 121 - 126
Publisher: Cambridge University Press
Print publication year: 2020

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