Use of an endoscopic ultrasound probe for the evaluation of the Müllerian rudiments in patients with Rokitansky syndrome.
OBJECTIVE
To assess the use of an endoscopic ultrasound probe in the evaluation of the uterine horns in a series of patients who were undergoing laparoscopy for the creation of a neovagina.


METHODS
Prospective study.


METHODS
Department of Obstetrics and Gynecology in a tertiary care and referral center for Rokitansky syndrome.


METHODS
Thirty patients with Rokitansky syndrome who were undergoing laparoscopically assisted creation of a neovagina.


METHODS
Preoperative assessment with a pelvic transabdominal ultrasound scan and pelvic magnetic resonance imaging (MRI). An endoscopic ultrasound probe was used to study the uterine horns during laparoscopy.


METHODS
Presence or absence of the uterine rudiments, presence or absence of the endometrial cavity, and Doppler ultrasound vascularization of the rudiments.


RESULTS
Of the 24 uterine horns sized >or=2 cm that were identified at endoscopic ultrasound, 22 and 19, respectively, had been recognized at MRI and transabdominal ultrasound scan. The endoscopic ultrasound probe diagnosed 12 cavitated horns, of which 9 and 7 were seen at MRI and transabdominal ultrasound scan, respectively.


CONCLUSIONS
Our experience shows the feasibility and accuracy of the endoscopic ultrasound probe in evaluating the structure of the rudimentary uterine horns in Rokitansky syndrome.
Fedele
Luigi
L
Department of Obstetrics, Gynecology and Neonatology, Fondazione Policlinico-Mangiagalli-Regina Elena, University of Milan, Milan, Italy. luigi.fedele@unimi.it
Bianchi
Stefano
S
Barbieri
Maurizio
M
Frontino
Giada
G
Meroni
Roberta
R
Fontana
Eleonora
E
D000015:Abnormalities, Multiple / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D019160:Endosonography / Q000295:instrumentation*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008279:Magnetic Resonance Imaging; D009095:Mullerian Ducts / Q000002:abnormalities / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D011446:Prospective Studies; D019738:Surgically-Created Structures; D013577:Syndrome; D018608:Ultrasonography, Doppler / Q000295:instrumentation*; D018084:Ultrasonography, Interventional / Q000295:instrumentation*; D014599:Uterus / Q000002:abnormalities / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D014621:Vagina / Q000002:abnormalities / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery