The Application of Sonovaginography for Implementing Ultrasound Assessment of Endometriosis and Other Gynaecological Diseases

Abstract

Sonovaginography is a way of assessing gynaecological diseases that can be described as cheap yet accurate and non-invasive. It consists of distention of the vagina with ultrasound gel or saline solution while performing transvaginal sonography to clearly visualize and assess a host of local cervical, as well as any vaginal, disorders. With endometriosis being a steadily growing gynaecological pathology affecting 8–15% of women of fertile age, transvaginal sonography (TVS) can be considered as one of the most accurate and comprehensive imaging techniques in its diagnosis. Nevertheless, the accuracy may vary depending on scan sites. The purpose of this narrative review is to assess the performance of sonovaginography in detecting endometriosis in those sites where TVS has a low sensitivity.

Global Burden of Endometriosis in 204 Countries and Territories from 1990 to 2019

“…In order to avoid delaying the patient's condition and reduce the misdiagnosis rate, the diagnostic level of endometriosis needs to be further improved. Laparoscopy is currently an important method for the diagnosis and treatment of endometriosis, but considering the invasiveness of the operation, the limitations of medical technology and the economic conditions of patients, laparoscopy is still not the preferred method for the diagnosis and treatment of endometriosis [1,2]. Future studies are warranted recommended the convenient prevention, diagnostic, and treatment policies for endometriosis.…”

“…Due to the often atypical symptoms of patients and the lack of understanding of the clinical characteristics of the disease by some doctors, the rate of misdiagnosis and missed diagnosis is high. Therefore, the diagnosis should be combined with imaging examinations such as ultrasound and MRI, laparoscopy and laboratory examinations [1,2]. Laparoscopy is an effective auxiliary diagnostic method at present, and biopsy is performed when necessary [1,2].…”

“…Therefore, the diagnosis should be combined with imaging examinations such as ultrasound and MRI, laparoscopy and laboratory examinations [1,2]. Laparoscopy is an effective auxiliary diagnostic method at present, and biopsy is performed when necessary [1,2]. Second, the diagnosis of endometriosis may be influenced by the variation in clinical symptoms not adequately captured, differences in clinical definitions between regions and individual practitioners, or the alternate interpretation of the same symptoms in different healthcare systems [13,14].…”

“…Endometriosis, as a common gynecological disease, occurs in women of childbearing age, and refers to the site where endometrial glands and stroma are implanted outside the uterine mucosa, mainly manifested as chronic pelvic pain, pelvic cyst The incidence rate of endometriosis is about 5%-15% [1]. The pathogenesis of endometriosis is complex, showing benign morphological manifestations in pathology, but with implantation, invasion and distant metastasis, such as relapse and relapse, which affect women's reproductive health and quality of life seriously [2].…”

Vaginosonography versus MRI in Pre-Treatment Evaluation of Early-Stage Cervical Cancer: An Old Tool for a New Precision Approach?

“…It is used to evaluate local disorders of the cervix and vagina, such as benign or malignant lesions, malformations, and infiltrating endometriosis. The acoustic window created by the passive distention of the vaginal walls allows a better analysis of the anatomical structures, making the ultrasound evaluation easier, especially in the detection of exophytic early-stage cervical cancers [ 13 , 14 , 15 ].…”