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A modified transvaginal sonographic technique for better ovarian evaluation
J Pardo1, B Kaplan, C Rosenberg
1Department of Obstetrics and Gynecology, Beilinson Medical Center, Petah Tiqva, Israel.
Journal of Clinical Ultrasound : JCU
|October 1, 1993
Summary
Pelvic sonography in postmenopausal women requires scanning both ovaries. A partially full bladder during transvaginal ultrasound significantly improves ovarian detection rates, increasing diagnostic success.
Area of Science:
- Reproductive medicine
- Medical imaging
- Gynecologic ultrasonography
Background:
- Pelvic sonography is crucial for evaluating postmenopausal women.
- Complete ovarian visualization is essential for accurate diagnosis.
- Current methods have limitations in detecting both ovaries.
Purpose of the Study:
- To assess the effectiveness of transvaginal sonography with a partially full bladder for ovarian detection.
- To improve the diagnostic yield of pelvic ultrasound in postmenopausal women.
Main Methods:
- Transvaginal sonographic examination was performed.
- Transabdominal screening was used in conjunction.
- Ovarian detection rates were compared with and without a partially full bladder.
Main Results:
- Transvaginal ultrasound combined with transabdominal screening achieved an 85% diagnostic rate.
- Using a partially full bladder during transvaginal examination increased ovarian detection to 93.5%.
- This improvement in detection was statistically significant (p < 0.05).
Conclusions:
- A partially full bladder technique significantly enhances ovarian visualization during transvaginal pelvic ultrasound.
- This method improves the completeness of sonographic evaluation in postmenopausal women.
- Optimized ultrasound techniques are vital for accurate gynecologic assessments.