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TAKE HOME MESSAGES
• Transvaginal ultrasonography is accurate in the diagnosis of ovarian endometriomas
• Transvaginal ultrasonography should be the first line investigation in patients with suspicion of deep endometriosis
• Transvaginal ultrasonography is accurate in the diagnosis of rectosigmoid endometriosis and bladder endometriosis
• The characteristics of deep endometriosis should be reported by using standardized criteria
• Transvaginal ultrasonography allows to diagnose uterine adenomyosis
REFERENCES
• Ferrero et al. Transvaginal sonography with vs without bowel preparation in diagnosis of rectosigmoid endometriosis: prospective study. Ultrasound Obstet Gynecol 2019;53:402‐409
• Guerriero et al. Systematic approach to sonographic evaluation of the pelvis in women with suspected endometriosis, including terms, definitions and measurements: a consensus opinion from the International Deep Endometriosis Analysis (IDEA) group. Ultrasound Obstet Gynecol 2016;48:318‐32.
• Guerriero S, Condous G, Alcazar G. How to perform ultrasonography in endometriosis. Spinger, 2018.
• Leone Roberti Maggiore U, et al. Bladder Endometriosis: A Systematic Review of Pathogenesis, Diagnosis,
Treatment, Impact on Fertility, and Risk of Malignant Transformation. Eur Urol 2017;71:790‐807.
• Valenzano Menada M, et al. Does transvaginal ultrasonography combined with water‐contrast in the rectum aid in the diagnosis of rectovaginal endometriosis infiltrating the bowel? Hum Reprod 2008;23:1069‐75.
• Van den Bosch T, et al. Terms, definitions and measurements to describe sonographic features of myometrium and uterine masses: a consensus opinion from the Morphological Uterus Sonographic Assessment (MUSA) group. Ultrasound Obstet Gynecol 2015;46:284‐98.
• Von Holsbeke et al. Endometriomas: their ultrasound characteristics. Ultrasound Obstet Gynecol 2010;35‐ 730‐740
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