Original Article

VOLUME: 36 | ISSUE: 3 | Sep 30, 2020 | PAGE: (296 - 299) | DOI: 10.51441/BioMedica/5-114

Accuracy of Transvaginal Ultrasonography for Diagnosis of Endometriosis Taking Laparoscopy as Gold Standard


Authors: Sumera Nighat , Zubda Anwar , Azka Anwar , Taqwa Firdaus , Rohma Saqi


Authors

Sumera Nighat

Department of Radiology, Bakhtawar Amin Medical & Dental College, Multan – Pakistan.

Zubda Anwar

Department, Gulgasht Hospital, Multan – Pakistan.

Azka Anwar

Department, Abeer Medical Center, Makkah – Saudi Arabia.

Taqwa Firdaus

Senior Registrar, Obstetrics & Gynaecology Department, Bakhtawar Amin Medical and Dental College, Multan – Pakistan.

Rohma Saqi

First Year Medical Student K10, Khawaja Safdar Medical College, Sialkot – Pakistan.

Publication History

Received: July 20, 2020

Revised: August 21, 2020

Accepted: September 10, 2020

Published: September 30, 2020


Abstract


Background and Objective: Endometriosis is a common gynaecological disease with a diverse clinical presentation. Laparoscopy has long been considered the gold standard diagnostic modality for endometriosis but with the evolution of non-invasive, high resolution transvaginal ultrasonography, it is frequently used as the first line diagnostic technique in making a preoperative diagnosis for endometriosis. This study was designed to determine the diagnostic accuracy of transvaginal ultrasonography (TVS) in diagnosis of endometriosis taking laparoscopy as gold standard.
Methods: A total of 118 women of child bearing age who presented with symptoms of pelvic endometriosis in the department of gynecology, Bakhtawar Amin Hospital Multan were included. The study duration was from June 01, 2018 to May 31, 2020. Patients were first investigated on TVS examination to diagnose endometriosis. Afterwards, diagnostic laparoscopy was performed in all patients to confirm the diagnosis of endometriosis. Accuracy of TVS was determined in terms of sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV).
Results: Mean age of the patients was 31.7 ± 7.4 years. Most common presenting complaint was dysmenorrhea in 89 (75.4%) patients followed by dyspareunia in 36 (30.5%), chronic pelvic pain in 30 (25.4%) patients and subfertility in 18 (15.3%) patients. On TVS, endometriosis was diagnosed in 69 (58.5%) patients. While on diagnostic laparoscopy, endometriosis was diagnosed in 75 (63.6%) patients.The sensitivity of TVS in diagnosis of endometriosis was calculated as 82.7%, specificity as 83.7%, PPV as 89.9% and NPV as 73.5%.
Conclusion: TVS appears to be the alternative and safe modality for diagnosis of endometriosis. It can be used as an alternative to diagnostic laparoscopy for the early diagnosis of endometriosis. It has a good sensitivity and specificity for diagnosis of endometriosis.


Keywords: Endometriosis, Laparoscopy, Transvaginal ultrasonography, Child bearing age.


Pubmed Style

Sumera Nighat, Zubda Anwar, Azka Anwar, Taqwa Firdaus, Rohma Saqi. Accuracy of Transvaginal Ultrasonography for Diagnosis of Endometriosis Taking Laparoscopy as Gold Standard. BioMedica. 2021; 30 (March 2021): 296-299. doi:10.51441/BioMedica/5-114

Web Style

Sumera Nighat, Zubda Anwar, Azka Anwar, Taqwa Firdaus, Rohma Saqi. Accuracy of Transvaginal Ultrasonography for Diagnosis of Endometriosis Taking Laparoscopy as Gold Standard. https://biomedicapk.com/articles/online_first/114 [Access: September 29, 2023]. doi:10.51441/BioMedica/5-114

AMA (American Medical Association) Style

Sumera Nighat, Zubda Anwar, Azka Anwar, Taqwa Firdaus, Rohma Saqi. Accuracy of Transvaginal Ultrasonography for Diagnosis of Endometriosis Taking Laparoscopy as Gold Standard. BioMedica. 2021; 30 (March 2021): 296-299. doi:10.51441/BioMedica/5-114

Vancouver/ICMJE Style

Sumera Nighat, Zubda Anwar, Azka Anwar, Taqwa Firdaus, Rohma Saqi. Accuracy of Transvaginal Ultrasonography for Diagnosis of Endometriosis Taking Laparoscopy as Gold Standard. BioMedica. (2021), [cited September 29, 2023]; 30 (March 2021): 296-299. doi:10.51441/BioMedica/5-114

Harvard Style

Sumera Nighat, Zubda Anwar, Azka Anwar, Taqwa Firdaus, Rohma Saqi (2021) Accuracy of Transvaginal Ultrasonography for Diagnosis of Endometriosis Taking Laparoscopy as Gold Standard. BioMedica, 30 (March 2021): 296-299. doi:10.51441/BioMedica/5-114

Chicago Style

Sumera Nighat, Zubda Anwar, Azka Anwar, Taqwa Firdaus, Rohma Saqi. "Accuracy of Transvaginal Ultrasonography for Diagnosis of Endometriosis Taking Laparoscopy as Gold Standard." 30 (2021), 296-299. doi:10.51441/BioMedica/5-114

MLA (The Modern Language Association) Style

Sumera Nighat, Zubda Anwar, Azka Anwar, Taqwa Firdaus, Rohma Saqi. "Accuracy of Transvaginal Ultrasonography for Diagnosis of Endometriosis Taking Laparoscopy as Gold Standard." 30.March 2021 (2021), 296-299. Print. doi:10.51441/BioMedica/5-114

APA (American Psychological Association) Style

Sumera Nighat, Zubda Anwar, Azka Anwar, Taqwa Firdaus, Rohma Saqi (2021) Accuracy of Transvaginal Ultrasonography for Diagnosis of Endometriosis Taking Laparoscopy as Gold Standard. , 30 (March 2021), 296-299. doi:10.51441/BioMedica/5-114