Does the diameter of an endometrioma predict the extent of pelvic adhesions associated with endometriosis?
OBJECTIVE
To correlate ovarian endometrioma diameter with the extent of pelvic adhesions.


METHODS
Forty women with unilateral ovarian cysts thought to be endometriomas were prospectively recruited. The interventions were transvaginal ultrasound to measure the size of the ovarian endometrioma and a laparoscopic surgical procedure, including detailed pelvic assessment. Main outcome measures were pelvic adhesion scores using the American Fertility Society revised classification of endometriosis.


RESULTS
Thirty-two women met the inclusion criteria. Twelve had an endometrioma < 3 cm in diameter; 12, 3-5 cm; and 8, > 5 cm. Adhesion scores from various anatomic areas did not differ across these 3 groups. No correlation between the size of the endometrioma and associated pelvic adhesions was found using multiple regression analysis.


CONCLUSIONS
The size of an endometrioma measured by transvaginal ultrasound does not correlate with the extent of adhesive disease. Small (< 3 cm) endometriomas may be associated with a considerable degree of pelvic adhesions.
Kaya
Hakan
H
Department of Obstetrics and Gynecology, Suleyman Demirel University, School of Medicine, Isparta, Turkey. drhakankaya2002@yahoo.com
Sezik
Mekin
M
Ozkaya
Okan
O
Sahiner
Hasan
H
Ozbaşar
Demir
D
D000328:Adult; D004715:Endometriosis / Q000000981:diagnostic imaging / Q000473:pathology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D010048:Ovarian Cysts / Q000473:pathology* / Q000648:ultrastructure; D010388:Pelvis / Q000473:pathology; D011379:Prognosis; D000267:Tissue Adhesions; D014463:Ultrasonography; D014621:Vagina / Q000000981:diagnostic imaging