Addendum to consensus opinion from International Deep Endometriosis Analysis (IDEA) group: sonographic evaluation of the parametrium

S Guerriero; G Condous; M Rolla; G Hudelist; S Ferrero; J L Alcazar; S Ajossa; C Bafort; D Van Schoubroeck; T Bourne; T Van den Bosch; S S Singh; M S Abrao; G Szabó; A C Testa; A Di Giovanni; D Fischerova; C Tomassetti; D Timmerman

doi:10.1002/uog.27558

Addendum to consensus opinion from International Deep Endometriosis Analysis (IDEA) group: sonographic evaluation of the parametrium

Ultrasound Obstet Gynecol. 2024 Aug;64(2):275-280. doi: 10.1002/uog.27558. Epub 2024 Jun 30.

Authors

S Guerriero^{1

2}, G Condous³, M Rolla⁴, G Hudelist^{5

6}, S Ferrero^{7

8}, J L Alcazar⁹, S Ajossa¹⁰, C Bafort^{11

12}, D Van Schoubroeck¹¹, T Bourne¹³, T Van den Bosch¹⁴, S S Singh¹⁵, M S Abrao^{16

17}, G Szabó¹⁸, A C Testa^{19

20}, A Di Giovanni²¹, D Fischerova²², C Tomassetti^{11

12}, D Timmerman^{11

12}

Affiliations

¹ Centro Integrato di Procreazione Medicalmente Assistita (PMA) e Diagnostica Ostetrico-Ginecologica, Azienda Ospedaliero Universitaria Cagliari-Policlinico Duilio Casula, Monserrato, Italy.
² University of Cagliari, Cagliari, Italy.
³ Acute Gynaecology, Early Pregnancy and Advanced Endoscopy Surgery Unit, Sydney Medical School Nepean, Nepean Hospital, University of Sydney, Penrith, NSW, Australia.
⁴ Department of Medicine and Surgery, Unit of Surgical Science, Obstetrics and Gynecology, University of Parma, Parma, Italy.
⁵ Department of Gynecology, Center for Endometriosis, Hospital St John of God, Vienna, Austria.
⁶ Rudolfinerhaus Private Clinic and Campus, Vienna, Austria.
⁷ Department of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DiNOGMI), University of Genoa, Genoa, Italy.
⁸ Academic Unit of Obstetrics and Gynecology, IRCCS Ospedale Policlinico San Martino, Genoa, Italy.
⁹ Department of Obstetrics and Gynecology, School of Medicine, Universidad de Navarra, Pamplona, Spain.
¹⁰ Centro Integrato di Procreazione Medicalmente Assistita (PMA) e Diagnostica Ostetrico-Ginecologica, Azienda Ospedaliero Universitaria-Policlinico Duilio Casula, Monserrato, Italy.
¹¹ Department of Obstetrics and Gynaecology, Leuven University Fertility Centre, University Hospitals Leuven, Leuven, Belgium.
¹² Department of Development and Regeneration, KU Leuven, Leuven, Belgium.
¹³ Queen Charlotte's and Chelsea Hospital, Imperial College London, London, UK.
¹⁴ Department of Obstetrics and Gynecology, KU Leuven University Hospital, Leuven, Belgium.
¹⁵ Department of Obstetrics and Gynecology, The Ottawa Hospital, Ottawa, ON, Canada.
¹⁶ Gynecologic Division, BP-A Beneficencia Portuguesa de São Paulo, São Paulo, Brazil.
¹⁷ Disciplina de Ginecologia, Departamento de Obstetricia e Ginecologia, Hospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.
¹⁸ Department of Obstetrics and Gynaecology, Faculty of Medicine, Semmelweis University, Budapest, Hungary.
¹⁹ Dipartimento Scienze della Salute della Donna, del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy.
²⁰ Dipartimento Scienze della Vita e Sanità Pubblica, Università Cattolica del Sacro Cuore, Rome, Italy.
²¹ Endoscopica Malzoni, Center for Advanced Pelvic Surgery (Drs Giovanni), Avellino, Italy.
²² Department of Obstetrics and Gynecology, First Faculty of Medicine, Charles University, Prague, Czech Republic.

PMID: 38057967
DOI: 10.1002/uog.27558

Abstract

Preoperative sonographic staging in patients with suspected parametrial endometriosis is essential to plan surgical intervention and anticipate the need for a multidisciplinary approach, and thus optimize surgical outcome. The results of a recent meta-analysis suggest that there is a need to define more accurately the ultrasonographic criteria for parametrial involvement in endometriosis. This addendum to the International Deep Endometriosis Analysis (IDEA) consensus highlights the sonographic characteristics of the parametrium and identifies ultrasound techniques to diagnose deep endometriosis in this area. © 2023 The Authors. Ultrasound in Obstetrics & Gynecology published by John Wiley & Sons Ltd on behalf of International Society of Ultrasound in Obstetrics and Gynecology.

MeSH terms

Consensus*
Endometriosis* / diagnostic imaging
Endometriosis* / pathology
Female
Humans
Ultrasonography* / methods