Transvaginal Versus Transabdominal Ultrasonography In Gynecological Lesions:

Khalid Abdel Razik Abdel Gawad El Khobby

Transvaginal sonography, as a recent diagnostic tool, has becomean important technique in examiningthe female genital tract. Endovaginalsonography overcomes many of the limitations of the transabdominaltechnique such as obesity, bony or gas shadowing, abdominal scarring,surgical drains or sutures, or the full bladder which is a painful ortroublesome procedure to many patients, together with its ability toprovide superb definition of structural anatomy of pelvic organs of thefemale due to its closer proximity to these organs.The aim of this work was to study the role of transvaginalsonography in evaluating gynecological lesions in comparison totransabdominal sonography. This study included 30 patients referred for avariety of suspected gynecological lesions. They were classified into 3main groups; group I, including 13 cases with uterine lesions; group II,including 10 cases with ovarian lesions; and group III, including 7 casessuffering from infertility and missed IUCD. All cases were subjected toTAS and TVS in the same cession except one case who refused the TVStechnique. Histopathological correlation with sonographic findings wasdone in 21 cases by biopsies which were taken by needle aspiration, conebiopsy, curettage, laparoscopic and operative biopsy.from the present study, we could summarizethat TVS is superiorto TAS due to its ability to depict small lesions, and to portray echoarchitecturaldetails, exact location, size, and origin of the lesion togetherwith its vital and indispensablerole in monitoring folliculardevelopmentand maturation and its appreciable role in assessingIUCD location anddegree of myometrial infiltration.The main limitation confronted in this work was the limited field ofview and the psychological aspect in some old women, together with itslimited role when the mass is very huge and high up in the abdomen.