Predictive value of dynamic transvaginal ultrasound for evaluating pelvic organ mobility: surgical and reproductive implications

To review the techniques of dynamic transvaginal ultrasound (TV-US) for evaluating pelvic organ mobility and demonstrate the components of a positive and negative ‘sliding sign’ with respect to deep infiltrating endometriosis (DIE) involving the Pouch of Douglas (POD). We will discuss the relative sensitivity and specificity of the ‘sliding sign’ for evaluating POD obliteration and summarize the surgical and reproductive implications of a negative sli ding sign with regards to endometriosis-associated infertility and management of deep infiltrating endometriosis involving the posterior compartment of the pelvis.
Source: Fertility and Sterility - Category: Reproduction Medicine Authors: Tags: Video session Source Type: research