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Table 2 Ultrasound findings and further treatment of patients referred with POP

From: Clinical relevance of routine transvaginal ultrasound in women referred with pelvic organ prolapse

 

n (%)

TVS without indication

 

Normal

Incidental findings

Endometrial pathology

Ovarian pathology

Fibromas

448 (88.4%)

59 (11.6%)

9 (1.8%)

15 (2.9%)

35 (6.9%)

TVS on indication

 

No cancer diagnosis

Cancer diagnosis

9 (64.3%)

5 (35.7%)

Further investigations of incidental findings

 

Ovarian pathology

Blood test (Ca-125), laparoscopy, control TVS/gynaecological examination (9/15)

Bilateral salpingo-oophorectomy (2/9)

Fibromas

Hysterectomy (2/35)

Endometrial pathology

Abrasions, mini-hysteroscopy, biopsies (8/9)

Hysteroscopic polyp removal (3/8)

15 (2.9%)

9 (60%)

2 (13%)

35 (6.9%)

2 (5.7%)

9 (1.8%)

8 (89%)

3 (33%)

Indication for operative treatment

 

POP

Incidental findings + POP

Incidental findings

285 (54.7%)

9 (1.7%)

8 (1.5%)

No indication for operative treatment

219 (42.1%)

More than one visit to the clinic due to incidental findings on TVS

 

Yes

No

10 (16.9%)

49 (83.1%)

Complications due to incidental findings on TVS

 

Yes

No

0 (0%)

59 (100%)

  1. TVS, transvaginal ultrasound scan; POP, pelvic organ prolapse