Your browser doesn't support javascript.
loading
Assessment of Pain in Endometriosis: A Radiologic Perspective on Disease Severity.
Alsudairy, Njood; Alsudairy, Saad; Alahdal, Alaa; Alkarimi, Eman; Bakkari, Alaa; Noorwali, Alaa; Kiram, Israa.
Afiliación
  • Alsudairy N; Department of Radiology, The Second Jeddah Health Cluster, Jeddah, SAU.
  • Alsudairy S; Department of Obstetrics and Gynecology, King Abdullah Medical Complex - Jeddah, Jeddah, SAU.
  • Alahdal A; Department of Radiology, National Guard Hospital, Jeddah, SAU.
  • Alkarimi E; Department of Radiology, King Salman Bin Abdulaziz Medical City, Medina, SAU.
  • Bakkari A; Department of Radiology, King Fahd Hospital, Medina, SAU.
  • Noorwali A; Department of Radiology, King Fahd Hospital - Jeddah, Jeddah, SAU.
  • Kiram I; Department of Radiology, King Fahd Hospital, Medina, SAU.
Cureus ; 16(7): e65649, 2024 Jul.
Article en En | MEDLINE | ID: mdl-39205769
ABSTRACT
Background Endometriosis is a prevalent gynecological disorder characterized by extra-uterine endometrial-like tissue, causing substantial morbidity, including chronic pelvic pain and infertility. Little is known about the correlation between imaging findings and pain severity in endometriosis. Methods We conducted a prospective observational study, enrolling 150 women diagnosed with endometriosis. Clinical, imaging (MRI and transvaginal ultrasound (TVUS)), and histopathological criteria were used for diagnosis. Pain severity was assessed using the Visual Analog Scale (VAS). Statistical analysis included multivariate regression to identify predictors of pain severity. Results Imaging revealed common sites of endometriosis involvement, predominantly ovaries (73.3%) and rectovaginal septum (40%). Deep infiltrating endometriosis (DIE) was present in 30% of patients, predominantly affecting uterosacral ligaments (66.7% of DIE cases). Patients with ovarian endometriomas and DIE exhibited significantly higher VAS scores (7.6 ± 1.5 and 8.0 ± 1.2, respectively) compared to those without (6.5 ± 1.9 and 6.9 ± 1.8, respectively). Surgical intervention led to a significant reduction in VAS scores (from 7.4 ± 1.6 to 3.2 ± 1.7, p < 0.001), correlating with reductions in lesion size and extent observed in follow-up imaging. Conclusion Advanced imaging techniques, particularly MRI and TVUS, play a critical role in assessing pain severity in endometriosis. Ovarian endometriomas and DIE are independent predictors of increased pain severity, guiding personalized treatment strategies. Surgical excision of lesions, particularly in cases of DIE, offers substantial pain relief and improves quality of life, emphasizing the integration of imaging in clinical decision-making for optimal endometriosis management.
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Cureus Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Cureus Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos