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Utility of Endovaginal Sonography in the Diagnosis of Adenomyosis


Sandridge, David A.; Babb, T. E.; & Thorp, John M., Jr. (1996). Utility of Endovaginal Sonography in the Diagnosis of Adenomyosis. Journal of Gynecoloical Tech, 2(3), 135-138.


Objective: To assess the utility of endovaginal sonography in the diagnosis of adeno­myosis.
Methods: Consecutive patients undergoing hysterectomy for either dysmenorrhea, menorrhagia, or pelvic pain underwent endovaginal sonography. Anechoic and hypere­choic myometrial lesions were thought to represent adenomyosis. The sonographic diagnosis was compared to the pathologic diagnosis. After hysterectomy, a subset of uteri were scanned in a water bath. Abnormal myometrial areas were localized by either needle placement or dye injection. Labeled areas were examined histologically. Results: A total of 181 patients were studied; 88 had adenomyosis. Sonography had 88% sensitivity, 87% specificity, 88% positive predictive value, and 87% negative predictive value. Eleven of 25 uteri examined in the water bath had images consistent with adeno­
myosis, which were pathologically confirmed in 10 uteri.
Conclusions: Endovaginal sonography is a sensitive and specific test for adenomyosis, allowing easy prehysterectomy diagnosis.

Reference Type

Journal Article

Year Published


Journal Title

Journal of Gynecoloical Tech


Sandridge, David A.
Babb, T. E.
Thorp, John M., Jr.