By Paola De Nardi, Stefano Ferrrari, Elaine Denny
Deep pelvic endometriosis is likely one of the so much serious expressions of a disorder which could contain all of the pelvic organs – bladder, ureters, rectosigmoid colon – inflicting debilitating signs and resulting in impaired caliber of existence in younger women.
The chapters hide either diagnostic and healing features of this disorder. The principal position of diagnostic imaging in surgical selection making is highlighted, in addition to the problems excited about cautious making plans of surgical operation, and particular consciousness is paid to minimally invasive techniques.
The paramount significance of a multidisciplinary group, regarding the services of radiologists, gastroenterologists, and psychologists, in addition to the talents of the gynecologist, urologist, and colorectal health care provider is underlined through the text.
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Additional resources for Deep Pelvic Endometriosis: A Multidisciplinary Approach
This reconstruction may be useful in detecting ureterohydronephrosis and evaluating other pathology in the abdomen and pelvis Fig. 3% respectively. 8%. 4% and a specificity of 100%. The sensitivity and specificity of MRI for sigmoid colon involvement were 75% and 100% respectively. 3% and 100%. According to what has been previously reported, different imaging methods are required to effectively assess the disease extent in DIE, which is a multifocal disease. These include TVS, EUS, and MRI. Diagnosis of endometriomas, and vaginal and rectovaginal endometriosis is reliable on ultrasonography.
51. 52. 53. 54. 55. 56. 57. 58. P. De Nardi, S. Ferrari Roseau G, Dumontier I, Palazzo L et al. Rectosigmoid endometriosis: endoscopic ultrasound features and clinical implications. Endoscopy 2000;32:525–530 Bazot M, Thomassin I, Hourani R et al. Diagnostic accuracy of transvaginal sonography for deep pelvic endometriosis. Ultrasound Obstet Gynecol 2004;24:180–185 Bazot M, Malzy P, Cortez A et al. Accuracy of transvaginal sonography and rectal endoscopic sonography in the diagnosis of deep infiltrating endometriosis.
Review. N Engl J Med 2009;360:268–279 Donnez J, Nisolle M, Squifflet J. Ureteral endometriosis: a complication of rectovaginal endometriotic (adenomyotic) nodules. Fertil Steril 2002;77:32–37 Carmignani L, Vercellini P, Spinelli M et al. Pelvic endometriosis and hydroureteronephrosis. Fertil Steril 2010;93:1741–1744 Crosignani PG, Vercellini P. Conservative surgery for severe endometriosis: should laparotomy be abandoned definitively? Hum Reprod 1995;10:2412–2418 Abrao SM, Gonçalves MO, Antonio Dias J et al.