Transvaginal colour Doppler in patients with ovarian endometriomas and pelvic pain
The aim of this investigation was to correlate ovarian endometrioma vascularization with the presence of pelvic pain. METHODS: The presence of blood flow, peak systolic velocity (PSV, cm/s) and lowest pulsatility index (PI), assessed by transvaginal colour Doppler ultrasonograp...
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Format: | info:eu-repo/semantics/article |
Language: | eng |
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Oxford University Press
2012
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Online Access: | https://hdl.handle.net/10171/23357 |
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author | Alcazar, J.L. (Juan Luis) |
author_facet | Alcazar, J.L. (Juan Luis) |
author_sort | Alcazar, J.L. (Juan Luis) |
collection | DSpace |
description | The aim of this investigation was to correlate ovarian endometrioma
vascularization with the presence of pelvic pain. METHODS: The presence of blood
flow, peak systolic velocity (PSV, cm/s) and lowest pulsatility index (PI),
assessed by transvaginal colour Doppler ultrasonography and CA-125 plasma
concentrations, were retrospectively analysed in 74 patients who had undergone
operations for cystic ovarian endometriosis. Fifty-two patients were asymptomatic
(group A) and 22 presented with pelvic pain (group B). There were 56
endometriomas in group A and 26 in group B. RESULTS: Blood flow was found in 66.1
and 88.5% of endometriomas in groups A and B respectively (P = 0.036). PI was
significantly lower (P = 0.009) and CA-125 concentration higher (P = 0.0004) in
group B. There were no differences in PSV. CONCLUSIONS: We conclude that
vascularization of ovarian endometriomas in patients presenting with pelvic pain
is higher than in asymptomatic patients. This could be an indicator of
endometriosis activity. |
format | info:eu-repo/semantics/article |
id | oai:dadun.unav.edu:10171-23357 |
institution | Universidad de Navarra |
language | eng |
publishDate | 2012 |
publisher | Oxford University Press |
record_format | dspace |
spelling | oai:dadun.unav.edu:10171-233572022-06-29T09:28:04Z Transvaginal colour Doppler in patients with ovarian endometriomas and pelvic pain Alcazar, J.L. (Juan Luis) Endometriosis/physiopathology/surgery/ultrasonography Ovarian Cysts/physiopathology/surgery/ultrasonography Ovarian Diseases/physiopathology/surgery/ultrasonography The aim of this investigation was to correlate ovarian endometrioma vascularization with the presence of pelvic pain. METHODS: The presence of blood flow, peak systolic velocity (PSV, cm/s) and lowest pulsatility index (PI), assessed by transvaginal colour Doppler ultrasonography and CA-125 plasma concentrations, were retrospectively analysed in 74 patients who had undergone operations for cystic ovarian endometriosis. Fifty-two patients were asymptomatic (group A) and 22 presented with pelvic pain (group B). There were 56 endometriomas in group A and 26 in group B. RESULTS: Blood flow was found in 66.1 and 88.5% of endometriomas in groups A and B respectively (P = 0.036). PI was significantly lower (P = 0.009) and CA-125 concentration higher (P = 0.0004) in group B. There were no differences in PSV. CONCLUSIONS: We conclude that vascularization of ovarian endometriomas in patients presenting with pelvic pain is higher than in asymptomatic patients. This could be an indicator of endometriosis activity. 2012-10-15T10:04:54Z 2012-10-15T10:04:54Z 2001 info:eu-repo/semantics/article https://hdl.handle.net/10171/23357 eng http://humrep.oxfordjournals.org/content/16/12/2672.full.pdf+html info:eu-repo/semantics/openAccess application/pdf Oxford University Press |
spellingShingle | Endometriosis/physiopathology/surgery/ultrasonography Ovarian Cysts/physiopathology/surgery/ultrasonography Ovarian Diseases/physiopathology/surgery/ultrasonography Alcazar, J.L. (Juan Luis) Transvaginal colour Doppler in patients with ovarian endometriomas and pelvic pain |
title | Transvaginal colour Doppler in patients with ovarian endometriomas and pelvic pain |
title_full | Transvaginal colour Doppler in patients with ovarian endometriomas and pelvic pain |
title_fullStr | Transvaginal colour Doppler in patients with ovarian endometriomas and pelvic pain |
title_full_unstemmed | Transvaginal colour Doppler in patients with ovarian endometriomas and pelvic pain |
title_short | Transvaginal colour Doppler in patients with ovarian endometriomas and pelvic pain |
title_sort | transvaginal colour doppler in patients with ovarian endometriomas and pelvic pain |
topic | Endometriosis/physiopathology/surgery/ultrasonography Ovarian Cysts/physiopathology/surgery/ultrasonography Ovarian Diseases/physiopathology/surgery/ultrasonography |
url | https://hdl.handle.net/10171/23357 |
work_keys_str_mv | AT alcazarjljuanluis transvaginalcolourdopplerinpatientswithovarianendometriomasandpelvicpain |