Role of Gynecological Ultrasound in Evaluation of Pelvic Urologic Pathologies.


Journal

The Israel Medical Association journal : IMAJ
ISSN: 1565-1088
Titre abrégé: Isr Med Assoc J
Pays: Israel
ID NLM: 100930740

Informations de publication

Date de publication:
Jan 2023
Historique:
entrez: 31 1 2023
pubmed: 1 2 2023
medline: 2 2 2023
Statut: ppublish

Résumé

Advances in examination techniques have improved routine assessment of non-gynecological structures in the pelvis. To describe the sonographic features of incidental urological abnormalities found during gynecological transvaginal ultrasound. A retrospective descriptive analysis of patients who underwent gynecological ultrasound and were diagnosed with urologic findings was performed. The sonographic features of the findings including size, echogenicity, and vascularity were examined. Gynecological ultrasound diagnosed urological findings in nine women. Two had primary neoplasms of the urinary bladder, one had metastases to the urinary bladder, one had polyps in the distal ureters, four presented with calculus in the distal ureters (one of them was 19 weeks pregnant), and one showed diverticulum of the urethra. At presentation five women (56%) had urinary complaints. Two patients (22%) with abdominal pain with distal ureteral calculi had normal transabdominal ultrasound targeted to the urinary system prior to the gynecological sonography. Transvaginal ultrasound is useful in the diagnosis of urological abnormalities, mainly in the urinary bladder and the distal ureters. We suggest adding transvaginal assessment for female patients with urinary complains in whom transabdominal ultrasound of urinary system was unremarkable.

Sections du résumé

BACKGROUND BACKGROUND
Advances in examination techniques have improved routine assessment of non-gynecological structures in the pelvis.
OBJECTIVES OBJECTIVE
To describe the sonographic features of incidental urological abnormalities found during gynecological transvaginal ultrasound.
METHODS METHODS
A retrospective descriptive analysis of patients who underwent gynecological ultrasound and were diagnosed with urologic findings was performed. The sonographic features of the findings including size, echogenicity, and vascularity were examined.
RESULTS RESULTS
Gynecological ultrasound diagnosed urological findings in nine women. Two had primary neoplasms of the urinary bladder, one had metastases to the urinary bladder, one had polyps in the distal ureters, four presented with calculus in the distal ureters (one of them was 19 weeks pregnant), and one showed diverticulum of the urethra. At presentation five women (56%) had urinary complaints. Two patients (22%) with abdominal pain with distal ureteral calculi had normal transabdominal ultrasound targeted to the urinary system prior to the gynecological sonography.
CONCLUSIONS CONCLUSIONS
Transvaginal ultrasound is useful in the diagnosis of urological abnormalities, mainly in the urinary bladder and the distal ureters. We suggest adding transvaginal assessment for female patients with urinary complains in whom transabdominal ultrasound of urinary system was unremarkable.

Identifiants

pubmed: 36718732

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

23-26

Auteurs

Alina Weissmann-Brenner (A)

Department of Obstetrics and Gynecology, Sheba Medical Center, Tel Hashomer, Israel, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Vered Yulzari (V)

Department of Obstetrics and Gynecology, Sheba Medical Center, Tel Hashomer, Israel, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Eran Kassif (E)

Department of Obstetrics and Gynecology, Sheba Medical Center, Tel Hashomer, Israel, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Michal Zajicek (M)

Department of Obstetrics and Gynecology, Sheba Medical Center, Tel Hashomer, Israel, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

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Classifications MeSH