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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Main Author: Alcazar, J.L. (Juan Luis)
Format: info:eu-repo/semantics/article
Language:eng
Published: Oxford University Press 2012
Subjects:
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.
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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