Three-dimensional (3D) Rectal Water Contrast Transvaginal Ultrasonography Versus Computed Colonography in the Diagnosis of Rectosigmoid Endometriosis

Ospedale Policlinico San Martino

Status: Completed

Conditions: Endometriosis, Rectum; Endometriosis, Sigmoid

Treatments: Diagnostic Test: Computed colonography; Diagnostic Test: Three-dimensional (3D) rectal water contrast transvaginal ultrasonography

Study type: Observational

Funder types: Other

Identifiers

NCT04295343

3dETV-CTC-ENDO

Details and patient eligibility

About

Rectosigmoid involvement by endometriosis causes intestinal symptoms such as constipation, diarrhea, and dyschezia. A non-invasive diagnosis of bowel endometriosis is relevant to provide the patients information on the potential hormonal or surgical treatments. The objective of the current study was to compare the performance of three-dimensional rectal water contrast transvaginal ultrasonography (3D-RWC-TVS) and computed colonography (CTC) in predicting the presence and characteristics of rectosigmoid endometriosis.

Enrollment: 68 patients

Sex: Female

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• pain and intestinal symptoms suggestive of rectosigmoid endometriosis

Exclusion criteria

• previous surgical diagnosis of intestinal endometriosis
• previous radiological diagnosis of intestinal endometriosis (based on Magnetic Resonance or double-contrast barium enema
• history of colorectal surgery (except appendectomy)
• contraindications to bowel preparation or computed colonography (such as non-- compliant patients and rectal malformations)
• previous bilateral ovariectomy
• psychiatric disorders

Trial design

68 participants in 1 patient group

Patients with suspicious of rectosigmoid endometriosis

Treatment:

Diagnostic Test: Three-dimensional (3D) rectal water contrast transvaginal ultrasonography

Diagnostic Test: Computed colonography