Endometriosis, Endometriosis of Colon, Endometriosis of Vagina, Endometriosis Pelvic, Endometriosis Rectovaginal Septum, Endometriosis, Rectum
Conditions
Keywords
rectosigmoid endometriosis; posterior pelvic deep endometriosis; vaginal endometriosis; rectovaginal endometriosis
Brief summary
As the surgical treatment of posterior deep endometriosis may be challenging for surgeons and carry significant risks for patients, preoperative assessment of the location, characteristics and presence of nodules of posterior deep endometriosis is important in order to inform the patient about the various treatment possibilities and to allow adequate counseling regarding treatment strategy. The aim of this study is to investigate the accuracy of rectal water-contrast transvaginal ultrasonography (RWC-TVS), and sonovaginography (SVG) in patients with clinical suspicion of posterior deep endometriosis (DIE).
Interventions
DIAGNOSTIC_TESTRectal water-contrast transvaginal ultrasonography
Transvaginal ultrasound scan combined with the introduction of saline solution into the rectum
DIAGNOSTIC_TESTSonovaginography
Transvaginal ultrasound scan combined with the introduction of saline solution into the vagina
Sponsors
Fabio Barra
Study design
Observational model
CASE_ONLY
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Inclusion criteria
* clinical presentation suggestive of the presence of posterior deep infiltrating endometriosis
Exclusion criteria
* previous diagnosis of posterior deep infiltrating endometriosis by radiologic imaging (i.e. magnetic resonance, computed tomography) * previous surgical diagnosis of posterior deep infiltrating endometriosis
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Accuracy in diagnosing the presence of the following sites of posterior deep endometriosis: rectovaginal septum, rectosigmoid, uterosacral ligaments, and vagina | At maximum 6 months before undergoing laparoscopic surgical approach |
Secondary
| Measure | Time frame |
|---|---|
| Accuracy in estimating the deep of infiltration in the intestinal muscolari propria of nodules of rectosigmoid endometriosis | At maximum 6 months before undergoing laparoscopic surgical approach |
| Accuracy in estimating the distance between rectosigmoid endometriosis nodules and the anal verge | At maximum 6 months before undergoing laparoscopic surgical approach |
| Accuracy in diagnosing the presence of multifocal rectosigmoid endometriosis | At maximum 6 months before undergoing laparoscopic surgical approach |
| Accuracy in estimating the largest diameter of endometriosis nodules in the following sites of posterior deep endometriosis: rectovaginal septum, rectosigmoid, uterosacral ligaments, and vagina | At maximum 6 months before undergoing laparoscopic surgical approach |
Countries
Italy
Outcome results
None listed