Transvaginal ultrasound role in screening for severe endometriosis | Marlin Mubarak
Summary :
Laparoscopy is regarded as the Gold Standard in diagnosis of Endometriosis. However, for deep infiltrating endometriosis (DIE), posterior compartment disease cannot be quantified until densely adherent bowel is mobilized with opening of perirectal space. This is associated with a high risk of complications needing careful planning and patient counselling. Using transvaginal ultrasound can help in the diagnosis and can be used as a screening tool followed by MRI to confirm the extent of the disease.Statistically significant correlation between ultrasound, MRI and surgical ENZIAN classification (P 0.01). Ultrasound identified all cases with adenomyosis, rectovaginal DIE and was accurate in 90% of the cases in identifying rectal adhesion and ovarian mobility.
About Author :
Dr Marlain Mubarak completed postgraduate training at the Oxford Deanery UK obtaining RCOG/BSGE Laparoscopic/ Hysteroscopic surgery accreditation in 2004. Following that did spend a year working at Oxford Radcliff Hospital endometriosis centre as a senior registrar and was awarded CCT UK in 2005. Between 2006 & 2009 as a consultant at High Wycombe Hospital, UK, worked to establish Laparoscopic Hysterectomy as the standard management for endometrial cancer. Between 2010 t& 2017 worked at Luton & Dunstable University Hospital UK as a consultant Lead for Colposcopy and Diagnostic Oncology. In 2014 facilitated the development of BSGE accredited endometriosis centre and led the surgical team. Areas of expertise also include Psychosexual counselling acquiring Diploma in 2009 and later membership of Institute of Psychosexual Medicine London in 2011.
