International Journal of
Reproductive Biomedicine
Thu, Nov 21, 2024
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Volume 21, Issue 6 ( June 2023 2023)
IJRM 2023, 21(6): 471-480 |
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Padmehr R, Shadjoo K, Mohazzab A, Gorgin A, Karegar R, Jaberipour P, et al . Transvaginal sonography and surgical findings in the diagnosis of endometriosis individuals: A cross-sectional study. IJRM 2023; 21 (6) :471-480
URL: http://ijrm.ir/article-1-2642-en.html
URL: http://ijrm.ir/article-1-2642-en.html
Roya Padmehr1 
, Khadijah Shadjoo * 2, Arash Mohazzab3 , Atefeh Gorgin3 , Roksana Karegar3 , Parvin Jaberipour3 , Zahra Sehat3 , Narges Maleki3
, Khadijah Shadjoo * 2, Arash Mohazzab3 , Atefeh Gorgin3 , Roksana Karegar3 , Parvin Jaberipour3 , Zahra Sehat3 , Narges Maleki3
1- Reproductive Biotechnology Research Center, Avicenna Research Institute, ACECR, Tehran, Iran
2- Reproductive Biotechnology Research Center, Avicenna Research Institute, ACECR, Tehran, Iran ,khadijeh.shadjoo@yahoo.com
3- Avicenna Infertility Clinic, Avicenna Research Institute, ACECR, Tehran, Iran
2- Reproductive Biotechnology Research Center, Avicenna Research Institute, ACECR, Tehran, Iran ,
3- Avicenna Infertility Clinic, Avicenna Research Institute, ACECR, Tehran, Iran
Abstract: (596 Views)
Background: Endometriosis is a challenging gynecological disease and a debilitating condition that profoundly affects the individual’s quality of life. Besides pathological confirmation, diagnostic laparoscopy has been internationally accepted as the standard method to identify the accurate mapping of endometriosis. Transvaginal sonography (TVS) is the first non-invasive imaging modality to estimate the severity of endometriosis.
Objective: This study aimed to evaluate the accuracy of TVS in affected women compared with surgical findings.
Materials and Methods: This retrospective cross-sectional study surveyed 170 women with deep infiltrating endometriosis (DIE) referred to the endometriosis part of the Avicenna Infertility Center, Tehran, Iran and they underwent TVS followed by laparoscopy. Recorded data of individuals under study in the medical database system were reviewed. Finally, the agreement rate was calculated for ultrasound reports and intraoperative (IO) findings regarding ovarian endometrium, ovarian adhesion, involvement of cul-de-sac, rectovaginal septum, and bowel and ureter.
Results: 170 women with DIE entered the study. The agreement of TVS and IO findings were 86.76% for left ovarian endometriosis and 70.86% for right ovarian endometriosis, 93.90% for left ovarian adhesion, and 88.90% for right ovarian adhesion, 88.90% for a cul-de-sac, and 84.82% for bowel nodules. The findings, based on a laparoscopic assessment of the pelvic floor, were completely compatible with ultrasound reports (100%).
Conclusion: TVS allows a preoperative evaluation in planning the surgical policy associated. TVS is beneficial for dedicated mapping of DIE; thus, an expert radiologist can aid the surgeon in preoperative evaluation and IO management.
Objective: This study aimed to evaluate the accuracy of TVS in affected women compared with surgical findings.
Materials and Methods: This retrospective cross-sectional study surveyed 170 women with deep infiltrating endometriosis (DIE) referred to the endometriosis part of the Avicenna Infertility Center, Tehran, Iran and they underwent TVS followed by laparoscopy. Recorded data of individuals under study in the medical database system were reviewed. Finally, the agreement rate was calculated for ultrasound reports and intraoperative (IO) findings regarding ovarian endometrium, ovarian adhesion, involvement of cul-de-sac, rectovaginal septum, and bowel and ureter.
Results: 170 women with DIE entered the study. The agreement of TVS and IO findings were 86.76% for left ovarian endometriosis and 70.86% for right ovarian endometriosis, 93.90% for left ovarian adhesion, and 88.90% for right ovarian adhesion, 88.90% for a cul-de-sac, and 84.82% for bowel nodules. The findings, based on a laparoscopic assessment of the pelvic floor, were completely compatible with ultrasound reports (100%).
Conclusion: TVS allows a preoperative evaluation in planning the surgical policy associated. TVS is beneficial for dedicated mapping of DIE; thus, an expert radiologist can aid the surgeon in preoperative evaluation and IO management.
Type of Study: Original Article |
Subject:
Fertility & Infertility
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