A Novel Ultrasound Technique Called Saline Infusion SonoPODography to Visualize and Understand the Pouch of Douglas and Posterior Compartment ContentsA Feasibility Study

Authors Organisations
Type Article
Original languageEnglish
Pages (from-to)3301-3309
Number of pages9
JournalJournal of Ultrasound in Medicine
Volume38
Issue number12
Early online date15 May 2019
DOI
Publication statusPublished - 01 Dec 2019
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Abstract

Women with infertility are often investigated with saline‐infusion sonohysterography and hysterosalpingo‐contrast‐sonography. The high prevalence of endometriosis in this population also warrants an evaluation with transvaginal ultrasound for deep endometriosis. To minimize investigations, we prospectively evaluated the feasibility of a novel combined ultrasound technique called saline‐infusion sonoPODography. In most patients, the fluid infused to assess the cavity and tubal patency spilled through patent tubes and filled the pouch of Douglas, yielding a “standoff” view of posterior compartment structures, including uterosacral ligaments, rectovaginal septum, and the pouch of Douglas. We believe this improved our ability to evaluate this space

Keywords

  • endometriosis, infertility, obstetric and gynecologic diagnostic technique, pouch of Douglas, ultrasound, uterosacral ligaments