Endometriosis, Rectum
Conditions
Keywords
rectosigmoid endometriosis, bowel preparation
Brief summary
Three-dimensional (3D) rendering may be employed during transvaginal rectal water-contrast transvaginal ultrasonography (RWC-TVS) for detecting the presence and describe the characteristics of rectosigmoid endometriosis. This study aims to evaluate the impact of bowel preparation on the diagnostic parameters of 3D-RWC-TVS in women with suspicion of rectosigmoid endometriosis.
Detailed description
An accurate diagnosis of the presence, location and extent of the rectosigmoid endometriosis is of paramount importance for the clinicians in order to inform the patients on the potential surgical or medical treatments. It is well established that transvaginal ultrasonography is the first-line investigation in patients with suspicion of deep infiltrating endometriosis. An improvement in the performance of transvaginal ultrasonography in diagnosing rectosigmoid endometriosis may be obtained by using rectal water contrast during transvaginal ultrasonographic scan. In the last years, three-dimensional (3D) rendering has been employed during transvaginal ultrasound for benign gynecological diseases.
Interventions
PROCEDURE3D-RWC-TVS with bowel preparation
Rectal water contrast transvaginal ultrasonography is based on the distention of rectosigmoid with saline solution. Three-dimensional reconstructions convert standard 2D grayscale ultrasound acquisitions into a volumetric dataset. Bowel preparation is based on a low-residue diet given in the two days before the examination and a rectal enema administered a few hours before the procedure.
PROCEDURE3D-RWC-TVS without bowel preparation
Rectal water contrast transvaginal ultrasonography is based on the distention of rectosigmoid with saline solution. Three-dimensional reconstructions convert standard 2D grayscale ultrasound acquisitions into a volumetric dataset.
Sponsors
Piazza della Vittoria 14 Studio Medico - Ginecologia e Ostetricia
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Inclusion criteria
\- pain and intestinal symptoms suggestive of rectosigmoid endometriosis
Exclusion criteria
* previous surgical diagnosis of intestinal endometriosis * previous radiological diagnosis of intestinal endometriosis (based on Magnetic Resonance or double-contrast barium enema * history of colorectal surgery (except appendectomy) * contraindications to bowel preparation or computed colonography (such as non-- compliant patients and rectal malformations) * previous bilateral ovariectomy * psychiatric disorders
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| To compare the accuracy of 3D-RWC-TVS with and without bowel preparation in the diagnosis of rectosigmoid endometriosis. | At maximum 6 months before laparoscopic surgical approach | The results of imaging will be compared with surgical and histological findings. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| To compare the precision of 3D-RWC-TVS with and without bowel preparation in estimating the length (mid-sagittal diameter) of the rectosigmoid endometriotic nodules | At maximum 6 months before laparoscopic surgical approach | The results of imaging will be compared with surgical and histological findings. |
| To compare the accuracy of 3D-RWC-TVS with and without bowel preparation in the diagnosis of multifocal rectosigmoid endometriosis. | At maximum 6 months before laparoscopic surgical approach | The results of imaging will be compared with surgical and histological findings. |
Countries
Italy
Outcome results
None listed