Endometriosis on the uterosacral ligament: a marker of ureteral involvement

Fertility and Sterility
Raquel LimaPaulo Ayroza Ribeiro

Abstract

To evaluate the association between ultrasound measurements of endometriosis nodules on the uterosacral ligament (USL) and the risk of ureteral involvement, as well as to assess whether associations with other ultrasound variables increase the sensitivity and specificity of the diagnosis of ureteral endometriosis. Cross-sectional, observational study. University hospital. Four hundred sixty-three women with deep infiltrating endometriosis (DIE). Patients diagnosed with DIE underwent transvaginal ultrasound endometriosis mapping before laparoscopic surgery for full excision of endometriotic lesions. Preoperative ultrasound evaluation, intra- and postoperative assessment, and anatomopathologic confirmation. Of the 463 patients who participated in the study, 111 (23.97%) presented with endometriosis nodules with USL involvement on ultrasound examination conducted by a single radiologist. Receiver operating characteristic curve analysis showed that the size of the USL nodule had a statistically significant association with ipsilateral ureteral involvement. After multivariate logistic regression, the variables reduction in ovarian mobility, ureteral changes on the right side, size of the USL nodule, and presence of endometrioma on t...Continue Reading

Citations

Oct 4, 2020·Diagnostics·Mathew LeonardiGeorge Condous
Apr 23, 2019·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·M LeonardiG Condous
Sep 10, 2019·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Belinda G CollinsKathryn L McGillen
Apr 15, 2020·Journal of Minimally Invasive Gynecology·Mercedes EspadaGeorge Condous
Dec 18, 2020·Frontiers in Medicine·Shaoli YinYujuan Zhang
Feb 16, 2021·Fertility and Sterility·Luca SavelliRenato Seracchioli
Mar 20, 2021·Journal of Gynecology Obstetrics and Human Reproduction·Luca Liban MarianiNicoletta Biglia
Aug 8, 2021·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Tanushree RaoShannon Reid
Aug 21, 2021·Medicine·Raquel Silveira da Cunha AraujoPaulo Augusto Ayroza Galvão Ribeiro

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