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Endovaginal Imaging of Pelvic Floor Cysts and Masses

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Practical Pelvic Floor Ultrasonography

Abstract

The purpose of this chapter is to describe the 3D endovaginal ultrasonography utility in the assessment of pelvic floor cysts and masses. In order to visualize the structures that are located in or lateral to the vaginal canal, 3D endovaginal ultrasound technique is described. This special technique has the advantage of evaluating the anatomical relationship of any pathology in the vagina.

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References

  1. Sherer DM, Abulafia O. Transvaginal ultrasonographic depiction of a Gartner duct cyst. J Ultrasound Med. 2001;20(11):1253–5. Epub 2002/01/05.eng.

    PubMed  CAS  Google Scholar 

  2. McCarthy S, Taylor KJ. Sonography of vaginal masses. AJR Am J Roentgenol. 1983;140:1005–8. PubMed PMID: 6601411. English.

    Google Scholar 

  3. Kaur A, Makhija PS, Vallikad E, Padmashree V, Indira HS. Multifocal aggressive angiomyxoma: a case report. J Clin Pathol. 2000;53(10):798–9. PubMed PMID: 11064679. Pubmed Central PMCID: Source: NLM. PMC1731092. English.

    Google Scholar 

  4. Gerrard ER Jr, Lloyd LK, Kubricht WS, Kolettis PN. Transvaginal ultrasound for the diagnosis of urethral diverticulum. J Urol. 2003;169:1395–7. PubMed PMID: 12629370. English.

    Google Scholar 

  5. Romanzi LJ, Groutz A, Blaivas JG. Urethral diverticulum in women: diverse presentations resulting in diagnostic delay and mismanagement. J Urol. 2000;164:428–33. PubMed PMID: 10893602. English.

    Google Scholar 

  6. Shobeiri SA, Rostaminia G, White D, Quiroz LH, Nihira MA. Visualization of vaginal pathologies by 3-Dimensional Endovaginal and Endoanal Ultrasonography: A Pictorial Essay. J Ultrasound Med. 2013;32(8):1499–507. doi: 10.7863/ultra.32.8.1499.

    Google Scholar 

  7. Rufford J, Cardozo L. Urethral diverticula: a diagnostic dilemma. BJU Int. 2004;94(7):1044–7. PubMed PMID: 15541125.

    Article  PubMed  Google Scholar 

  8. Abulafia O, Sherer DM. Bartholin gland abscess: sonographic findings. J Clin Ultrasound. 1997;25(1):47–9. PubMed PMID: 9010809. English.

    Google Scholar 

  9. Patil S, Sultan AH, Thakar R. Bartholin’s cysts and abscesses. J Obstet Gynaecol. 2007;27:241–5. PubMed PMID: 17464802. English.

    Google Scholar 

  10. Wang S, Lang JH, Zhou HM. Venous malformations of the female lower genital tract. Eur J Obstet Gynecol Reprod Biol. 2009;145:205–8. PubMed PMID: 19520486. English.

    Google Scholar 

  11. Grenader T, Isacson R, Reinus C, Rosengarten O, Barenholz O, Hyman J, et al. Primary amelanotic melanoma of the vagina. Onkologie. 2008;31:474–6. PubMed PMID: 18787356. English.

    Google Scholar 

  12. Bujor A, Chen B. Metastatic mantle cell lymphoma presenting as a vaginal mass. A case report. Gynecol Obstet Invest. 2006;62:217–9. PubMed PMID: 16785735. English.

    Google Scholar 

  13. Shobeiri SA, Leclaire E, Nihira MA, Quiroz LH, O’Donoghue D. Appearance of the levator ani muscle subdivisions in endovaginal three-dimensional ultrasonography. Obstet Gynecol. 2009;114:66–72. PubMed PMID: 19546760.

    PubMed  Google Scholar 

  14. Santoro GA, Wieczorek AP, Shobeiri SA, Mueller ER, Pilat J, Stankiewicz A, Battistella G. Interobserver and interdisciplinary reproducibility of 3D endovaginal ultrasound assessment of pelvic floor anatomy. Int Urogynecol J Pelvic Floor Dysfunct. 2011;22:53–9.

    Article  Google Scholar 

  15. Marzano DA, Haefner HK. The Bartholin gland cyst: past, present, and future. J Low Genit Tract Dis. 2004;8(3):195–204.

    Article  PubMed  Google Scholar 

  16. Zaviacic M. The adult human female prostata homologue and the male prostate gland: a comparative enzyme-histochemical study. Acta Histochem. 1985;77(1):19–31. Epub 1985/01/01.eng.

    Article  PubMed  CAS  Google Scholar 

  17. Zaviacic M, Jakubovska V, Belosovic M, Breza J. Ultrastructure of the normal adult human female prostate gland (Skene’s gland). Anat Embryol. 2000;201(1):51–61. Epub 1999/12/22.eng.

    PubMed  CAS  Google Scholar 

  18. Dwyer PL. Skene’s gland revisited: function, dysfunction and the G spot. Int Urogynecol J. 2012;23(2):135–7. Epub 2011/09/09.eng.

    Article  PubMed  Google Scholar 

  19. Aspera AM, Rackley RR, Vasavada SP. Contemporary evaluation and management of the female urethral diverticulum. Urol Clin North Am. 2002;29(3):617–24. Epub 2002/12/13.eng.

    Article  PubMed  Google Scholar 

  20. Lee TG, Keller FS. Urethral diverticulum: diagnosis by ultrasound. AJR Am J Roentgenol. 1977;128(4):690–1. Epub 1977/04/01.eng.

    Article  PubMed  CAS  Google Scholar 

  21. Lee JW, Fynes MM. Female urethral diverticula. Best Pract Res Clin Obstet Gynaecol. 2005;19(6):875–93. Epub 2005/09/27.eng.

    Article  PubMed  Google Scholar 

  22. Hahn WY, Israel GM, Lee VS. MRI of female urethral and periurethral disorders. AJR Am J Roentgenol. 2004;182(3):677–82. Epub 2004/02/21.eng.

    Article  PubMed  Google Scholar 

  23. Lee MJ, Yoder IC, Papanicolaou N, Tung GA. Large Gartner duct cyst associated with a solitary crossed ectopic kidney: imaging features. J Comput Assist Tomogr. 1991;15(1):149–51. Epub 1991/01/01.eng.

    Google Scholar 

  24. Scheible FW. Ultrasonic features of Gartner’s duct cyst. J Clin Ultrasound. 1978;6(6):438–9. Epub 1978/12/01.eng.

    Article  PubMed  CAS  Google Scholar 

  25. Li YW, Sheih CP, Chen WJ. MR imaging and sonography of Gartner’s duct cyst and single ectopic ureter with ipsilateral renal dysplasia. Pediatr Radiol. 1992;22(6):472–3. Epub 1992/01/01.eng.

    Article  PubMed  CAS  Google Scholar 

  26. Li YW, Sheih CP, Chen WJ. Unilateral occlusion of duplicated uterus with ipsilateral renal anomaly in young girls: a study with MRI. Pediatr Radiol. 1995;25 Suppl 1:S54–9. Epub 1995/11/01.eng.

    PubMed  Google Scholar 

  27. Sheih CP, Li YW, Liao YJ, Chiang CD. Small ureterocele-like Gartner’s duct cyst associated with ipsilateral renal dysgenesis: report of two cases. J Clin Ultrasound. 1996;24(9):533–5. Epub 1996/11/01.eng.

    Google Scholar 

  28. Rosenfeld DL, Lis E. Gartner’s duct cyst with a single vaginal ectopic ureter and associated renal dysplasia or agenesis. J Ultrasound Med. 1993;12(12):775–8. Epub 1993/12/01.eng.

    PubMed  CAS  Google Scholar 

  29. Dwyer PL, Rosamilia A. Congenital urogenital anomalies that are associated with the persistence of Gartner’s duct: a review. Am J Obstet Gynecol. 2006;195(2):354–9. PubMed PMID: 16890546. Epub 2006/08/08.eng.

    Article  PubMed  Google Scholar 

  30. Ren X-L, Zhou X-D, Zhang J, He G-B, Han Z-H, Zheng M-J, et al. Extracorporeal ablation of uterine fibroids with high-intensity focused ultrasound. J Ultrasound Med. 2007;26:201–12.

    PubMed  Google Scholar 

  31. Plentl AA, Friedman EA. Lymphatic system of the female genitalia. The morphologic basis of oncologic diagnosis and therapy. Major Probl Obstet Gynecol. 1971;2:1–223. Epub 1971/01/01.eng.

    PubMed  CAS  Google Scholar 

  32. Fedele L, Bianchi S, Portuese A, Borruto F, Dorta M. Transrectal ultrasonography in the assessment of rectovaginal endometriosis. Obstet Gynecol. 1998;91(3):444–8.

    Article  PubMed  CAS  Google Scholar 

  33. Dessole S, Farina M, Rubattu G, Cosmi E, Ambrosini G, Nardelli NB. Sonovaginography is a new technique for assessing rectovaginal endometriosis. Fertil Steril. 2003;79(4):1023–7.

    Article  PubMed  Google Scholar 

  34. Valenzano Menada M, Remorgida V, Abbamonte LH, Nicoletti A, Ragni N, Ferrero S. Does transvaginal ultrasonography combined with water-contrast in the rectum aid in the diagnosis of rectovaginal endometriosis infiltrating the bowel? Hum Reprod. 2008;23(5):1069–75. PubMed PMID: 18310049. Epub 2008/03/04.eng.

    Article  PubMed  CAS  Google Scholar 

  35. Saccardi C, Cosmi E, Borghero A, Tregnaghi A, Dessole S, Litta P. Comparison between transvaginal sonography, saline contrast sonovaginography and magnetic resonance imaging in the diagnosis of posterior deep infiltrating endometriosis. Ultrasound Obstet Gynecol. 2012;40(4):464–9. Epub 2012/01/19.eng.

    Article  PubMed  CAS  Google Scholar 

  36. Kuuva N, Nilsson CG. A nationwide analysis of complications associated with the tension-free vaginal tape (TVT) procedure. Acta Obstet Gynecol Scand. 2002;81:72–7.

    Article  PubMed  Google Scholar 

  37. Konstantinovic ML, Ozog Y, Spelzini F, Pottier C, De Ridder D, Deprest J. Biomechanical findings in rats undergoing fascial reconstruction with graft materials suggested as an alternative to polypropylene. Neurourol Urodyn. 2010;29(3):488–93. PubMed PMID: 19618448. Epub 2009/07/21.eng.

    PubMed  CAS  Google Scholar 

  38. Zimmerman CW, Theobald P, Braun NM. Exposure and erosion of vaginal meshes: etiology and treatment. London: Springer; 2011. p. 217–30.

    Google Scholar 

  39. Santoro G, Wieczorek A, Shobeiri S, Mueller E, Pilat J, Stankiewicz A, et al. Interobserver and interdisciplinary reproducibility of 3D endovaginal ultrasound assessment of pelvic floor anatomy. Int Urogynecol J. 2010;22:53–9.

    Article  PubMed  Google Scholar 

  40. Quiroz LH, Shobeiri SA, Nihira MA. Three-dimensional ultrasound imaging for diagnosis of urethrovaginal fistula. Int Urogynecol J. 2010;21:1031–3. PubMed PMID: 20069418.

    Article  PubMed  Google Scholar 

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Correspondence to S. Abbas Shobeiri M.D. .

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Rostaminia, G., Shobeiri, S.A. (2014). Endovaginal Imaging of Pelvic Floor Cysts and Masses. In: Shobeiri, S. (eds) Practical Pelvic Floor Ultrasonography. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-8426-4_8

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  • DOI: https://doi.org/10.1007/978-1-4614-8426-4_8

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  • Online ISBN: 978-1-4614-8426-4

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