title: Diagnosis of endometriotic lesions by sonovaginography with ultrasound gel.
abstract: OBJECTIVE
  The aim of the study was to evaluate the diagnostic ability of sonovaginography (SVG) with ultrasound gel in patients with endometriosis.
  
  
  METHODS
  We conducted a multicentre prospective study, which included 193 patients with symptoms highly suggestive for endometriosis. All patients were investigated by transvaginal sonography and SVG with gel and afterwards underwent laparoscopic surgery. For each category of endometriotic lesions investigated, we calculated and compared the sensitivity, specificity,  positive predictive value and negative predictive value of the imagisticinvestigations used.
  
  
  RESULTS
  In the case of endometriotic lesions of the uterosacral ligaments, SVG with gel had a sensitivity of 78.5% and a specificity of 96% (p=ns). The lesions of the vagina and rectovaginal septum were diagnosed with a sensitivity of 79%, respectively 94% (p=ns), obtaining a specificity of 99%, respectively of 97% (p=0.007). The lesions of the Douglas pouch were identified with a sensitivity of 81% (p=0.015), and those of the rectosigmoid with a 94% sensitivity (p=0.010). We obtained lower sensitivity (67%) in detecting the lesions of the urinary bladder (p=ns).
  
  
  CONCLUSIONS
  SGV with ultrasound gel represents a useful investigation tool for the evaluation of endometriotic lesions in the posterior pelvic compartment.
authors.affiliation: "Carol Davila" University of Medicine and Pharmacy, Bucharest, "St. Pantelimon" Emergency Clinical Hospital, Bucharest, Romania.
authors.forename: Elvira
authors.initials: E
authors.lastname: Brătilă
authors.affiliation: "Carol Davila" University of Medicine and Pharmacy, Bucharest, "St. Pantelimon" Emergency Clinical Hospital, Bucharest, Romania.
authors.forename: Diana Elena
authors.initials: DE
authors.lastname: Comandaşu
authors.affiliation: "Carol Davila" University of Medicine and Pharmacy, Bucharest, "St. Pantelimon" Emergency Clinical Hospital, Bucharest, Romania.
authors.forename: Ciprian
authors.initials: C
authors.lastname: Coroleucă
authors.affiliation: "Carol Davila" University of Medicine and Pharmacy, Bucharest, Emergency Universitary Hospital, Bucharest, Romania.
authors.forename: Monica Mihaela
authors.initials: MM
authors.lastname: Cîrstoiu
authors.affiliation: University of Medicine and Pharmacy, Craiova, Romania.
authors.forename: Costin
authors.initials: C
authors.lastname: Berceanu
authors.affiliation: "Carol Davila" University of Medicine and Pharmacy, Bucharest, "Nicolae Malaxa" Clinical Hospital, Bucharest, Romania. claudiamehedintu@yahoo.com.
authors.forename: Claudia
authors.initials: C
authors.lastname: Mehedintu
authors.affiliation: "Carol Davila" University of Medicine and Pharmacy, Bucharest, "Euroclinic" Minimally Invasive and Reconstructive Hospital, Bucharest, Romania.
authors.forename: Petre
authors.initials: P
authors.lastname: Bratila
authors.affiliation: "Carol Davila" University of Medicine and Pharmacy, Bucharest, "Elias" Emergency Clinical Hospital, Bucharest, Romania.
authors.forename: Simona
authors.initials: S
authors.lastname: Vladareanu
mesh_terms: D000328:Adult; D004715:Endometriosis / Q000000981:diagnostic imaging* / Q000453:epidemiology* / Q000473:pathology; D019160:Endosonography / Q000379:methods / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D007089:Image Enhancement / Q000379:methods; D015995:Prevalence; D015203:Reproducibility of Results; D018570:Risk Assessment; D012307:Risk Factors; D012383:Romania / Q000453:epidemiology; D012680:Sensitivity and Specificity; D014622:Vaginal Creams, Foams, and Jellies; D014623:Vaginal Diseases / Q000000981:diagnostic imaging* / Q000453:epidemiology* / Q000473:pathology
chemical_list: D014622:Vaginal Creams, Foams, and Jellies