Oc01

Karamanidis, D; Nicolaou, P; Chrysafis, Ioannis; Georgopoulos, A; Tarres, E; Koutsougeras, G.

doi:10.1002/uog.19201

Cited by 6 publications

(2 citation statements)

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“…Studies have demonstrated sensitivity of almost 90% making MRI comparable and sometimes more reliable than ultrasound (i.e., patients with increased body mass index) [ 26 , 27 ]. Its comparability with ultrasound has already been studied [ 28 ]. The advantages of MRI are the low inter-examiner variability, the high sensitivity and specificity, and the almost unsurpassed soft-tissue contrast [ 26 , 27 ].…”

Section: Discussionmentioning

confidence: 99%

Sonographic features of adenomyosis correlated with clinical symptoms and intraoperative findings: a case–control study

Hamoud

Kasoha

Sillem

et al. 2023

Arch Gynecol Obstet

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Purpose Adenomyosis is a common disease of females during their reproductive age. As of today, histologic examination of the uterus after hysterectomy constitutes the gold standard for diagnosis. The aim of this study was to determine the validity of sonographic, hysteroscopic, and laparoscopic criteria for the diagnosis of the disease. Methods This study included data collected from 50 women in the reproductive age of 18–45 years, who underwent a laparoscopic hysterectomy in the gynecology department of the Saarland University Hospital in Homburg between 2017 and 2018. The patients with adenomyosis were compared with a healthy control group. Results We collected data of anamnesis, sonographic criteria, hysteroscopic criteria and laparoscopic criteria and compared it with the postoperative histological results. A total 25 patients were diagnosed with adenomyosis postoperatively. For each of these; at least three sonographic diagnostical criteria for adenomyosis were found compared with a maximum of two for the control group. Conclusion This study demonstrated an association between pre- and intraoperative signs of adenomyosis. In this way, it shows a high diagnostic accuracy of the sonographic examination as a pre-operative diagnostic method of the adenomyosis.

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Section: Discussionmentioning

confidence: 99%

Sonographic features of adenomyosis correlated with clinical symptoms and intraoperative findings: a case–control study

Hamoud

Kasoha

Sillem

et al. 2023

Arch Gynecol Obstet

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“…MRI and TVS are commonly used in the diagnosis adenomyosis 9 . However, the sensitivity (88%), specificity (94.6%), and diagnostic accuracy (85-90.8%) of MRI are greater than those of TVS 10,11 . In addition, the positive predictive value (PPV) and negative predictive value (NPV) of MRI were 95.6% and 85.4%, respectively 11 .…”

Section: Introductionmentioning

confidence: 93%

Association between the Occurrence of Adenomyosis and the Clinical Outcomes of Vaginal Repair of Cesarean Scar Defects: An Observational Cohort Study

Chen¹,

Wang²,

Wang³

2020

Preprint

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Study Objective: To examine the correlation between the occurrence of adenomyosis and the outcome of vaginal repair of cesarean scar defects (CSD). Design: A retrospective observational cohort study. Setting: University hospital. Patients: A total of 278 women with CSD were enrolled at the Shanghai First Maternity & Infant Hospital between January 2013 and August 2017. Interventions: Vaginal excision and suture of CSD. Measures and Main Results: According to preoperative magnetic resonance imaging (MRI) findings, patients were divided into two groups, the adenomyosis group (group A) and the non-adenomyosis group (group B). For group A patients, the mean duration of menstruation at 3-and 6-months follow-up was shorter and the TRM at the median-month follow-up was significantly thinner than those in group B patients (p < 0.05). There were more patients with class-A healing in group B compared with group A (44.7% vs 30.0%; p < 0.05). Furthermore, 59.3% (32/54) of women tried to conceive after vaginal repair. The pregnancy rates of women with and without adenomyosis were 66.7% (8/12) and 61.9% (26/42), respectively. The duration of menstruation decreased significantly from 13.4 ± 3.3 days to 7.6 ± 2.3 days after vaginal repair in 25 patients (p < 0.001). The TRM increased significantly from 2.3 ± 0.8 mm to 7.6 ± 2.9 mm after vaginal repair (p < 0.001). Conclusion: Vaginal repair reduced postmenstrual spotting and improve fertility in patients with CSD. Adenomyosis might be an adverse factor in the repair of uterine incisions.

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The Pathogenesis of Adenomyosis

Xiao

2021

Adenomyosis

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Oc01

Cited by 6 publications

References 0 publications

Sonographic features of adenomyosis correlated with clinical symptoms and intraoperative findings: a case–control study

Sonographic features of adenomyosis correlated with clinical symptoms and intraoperative findings: a case–control study

Association between the Occurrence of Adenomyosis and the Clinical Outcomes of Vaginal Repair of Cesarean Scar Defects: An Observational Cohort Study

The Pathogenesis of Adenomyosis

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