Transvaginal sonography and surgical findings in the diagnosis of endometriosis individuals: A cross-sectional study

Roya Padmehr, Khadijeh Shadjoo, Arash Mohazzab, Atefeh Gorgin, Roxana Karegar, Parvin Jaberi-Pour, Parvin Jaberipour, Zahra Sehat, Narges Maleki
International journal of reproductive biomedicine · 2023 · vol. 21(6) , pp. 471–480 · doi:10.18502/ijrm.v21i6.13634 · PMID:37560068 · W4385199569
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This study compared transvaginal sonography (TVS) with surgical findings in 170 women with deep infiltrating endometriosis, finding high agreement rates for various anatomical locations and concluding TVS aids preoperative planning and intraoperative management.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 · read from full text ⓘ

This cross-sectional study evaluated transvaginal sonography against surgical findings for diagnosing endometriosis, enrolling individuals undergoing assessment for suspected disease. Using imaging results and operative confirmation as the reference, the authors compared diagnostic performance to determine how well ultrasound findings align with what is seen during surgery. A key limitation stated in such cross-sectional designs is that diagnostic accuracy can be influenced by study selection and the timing/conditions of imaging relative to surgery. This paper is centrally about endometriosis — it specifically examines the diagnostic agreement between transvaginal sonography and surgical findings for endometriosis.

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Abstract

Background: Endometriosis is a challenging gynecological disease and a debilitating condition that profoundly affects the individual's quality of life. Besides pathological confirmation, diagnostic laparoscopy has been internationally accepted as the standard method to identify the accurate mapping of endometriosis. Transvaginal sonography (TVS) is the first non-invasive imaging modality to estimate the severity of endometriosis. Objective: This study aimed to evaluate the accuracy of TVS in affected women compared with surgical findings. Materials and Methods: This retrospective cross-sectional study surveyed 170 women with deep infiltrating endometriosis (DIE) referred to the endometriosis part of the Avicenna Infertility Center, Tehran, Iran and they underwent TVS followed by laparoscopy. Recorded data of individuals under study in the medical database system were reviewed. Finally, the agreement rate was calculated for ultrasound reports and intraoperative (IO) findings regarding ovarian endometrium, ovarian adhesion, involvement of cul-de-sac, rectovaginal septum, and bowel and ureter. Results: 170 women with DIE entered the study. The agreement of TVS and IO findings were 86.76% for left ovarian endometriosis and 70.86% for right ovarian endometriosis, 93.90% for left ovarian adhesion, and 88.90% for right ovarian adhesion, 88.90% for a cul-de-sac, and 84.82% for bowel nodules. The findings, based on a laparoscopic assessment of the pelvic floor, were completely compatible with ultrasound reports (100%). Conclusion: TVS allows a preoperative evaluation in planning the surgical policy associated. TVS is beneficial for dedicated mapping of DIE; thus, an expert radiologist can aid the surgeon in preoperative evaluation and IO management.
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Publication International Journal of Reproductive BioMedicine (IJRM) Record type Journal article Published 19 July 2023 Authors Roya Padmehr | Khadijeh Shadjoo | Arash Mohazzab | Atefeh Gorgin | Roxana Karegar | Parvin Jaberipour | Zahra Sehat | Narges Maleki The publisher of this work supports multiple resolution. The work is available from the following locations: {'doi': '10.18502/ijrm.v21i6.13634', 'member_id': '7770', 'member': 'Knowledge E DMCC', 'container-title': 'International Journal of Reproductive BioMedicine (IJRM)', 'primary-resource': 'https://knepublishing.com/index.php/ijrm/article/view/13634', 'tld': 'knepublishing.com', 'clearbit-logo': '/static/no_logo.svg', 'coaccess': [], 'multiple-resolution': [{'url': 'https://ijrm.ir/article-1-2642-en.html', 'tld': 'ijrm.ir', 'clearbit-logo': '/static/no_logo.svg'}, {'url': 'https://knepublishing.com/index.php/ijrm/article/view/13634', 'tld': 'knepublishing.com', 'clearbit-logo': '/static/no_logo.svg'}], 'type': 'JOURNAL ARTICLE', 'published_date': '19 July 2023', 'publication': 'International Journal of Reproductive BioMedicine (IJRM)', 'title': 'Transvaginal sonography and surgical findings in the diagnosis of endometriosis individuals: A cross-sectional study', 'name': None, 'id': None, 'location': None, 'display_doi': 'https://doi.org/10.18502/ijrm.v21i6.13634', 'grant_info': None, 'grant_info_funders': None, 'grant_info_funder_ids': '', 'grant_info_type': None, 'multiple_lead_investigators': [], 'multiple_co_lead_investigators': [], 'multiple_investigators': [], 'finances': [], 'project_description': None, 'award_amount': None, 'award_start': None, 'funding_scheme': None, 'internal_award_number': None, 'editors': None, 'authors': 'Roya Padmehr | Khadijeh Shadjoo | Arash Mohazzab | Atefeh Gorgin | Roxana Karegar | Parvin Jaberipour | Zahra Sehat | Narges Maleki', 'chairs': None, 'supplementary_ids': None} https://doi.org/10.18502/ijrm.v21i6.13634 JSON XML

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endometriosisdie_deep_infiltratinginfertility

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