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This video from Laval University Hospital presents advanced ultrasound techniques—vaginal gel sonography and transvaginal rectal hydrosonography—to enhance the imaging of recto-vaginal endometriosis. These methods improve the visualization of endometrial nodules and the differentiation of rectal layers, aiding in more accurate diagnoses and better patient management. See full transcript here: https://cansagevideosstaging.com/optimizin... Presented By Dr. Francesca Donders Dr. Kristina Arendas Dr. Antoine Netter Dr. Madeleine Lemyre Dr. Marie-Ève Lachance Valérie Allard Dr. Philippe Laberge Dr. Sarah-Maheux Lacroix Affiliations Université Laval Timestamps (00:50) Severe Dysmenorrhea (01:18) Vaginal Gel Sonography & Transvaginal Rectal Hydrosonography (02:18) Vaginal & Rectal Wall (03:08) Vaginal Gel Sonography (04:28) Transvaginal Rectal Hydrosonography (06:08) Patient Satisfaction The instructional video, presented by the minimal invasive team at Laval University Hospital, delves into optimizing ultrasound imaging for diagnosing recto-vaginal endometriosis, a condition that significantly impacts the quality of life of reproductive-aged women. The video outlines two innovative techniques aimed at enhancing the diagnostic capabilities of standard transvaginal ultrasound. The first technique, vaginal gel sonography, utilizes a gel-filled glove to create a clear imaging window between the ultrasound probe and the vaginal wall, allowing for superior visualization of endometrial nodules. The second, transvaginal rectal hydrosonography, involves the injection of water into the rectum during ultrasound to delineate the rectal layers more clearly and assess the intramural extent of nodules. These techniques are presented in detail, from the preparation of the materials needed for each method to their practical application during ultrasound examinations. The video emphasizes the ease of learning these methods and their cost-effectiveness, making them accessible options for improving the assessment of deep infiltrating endometriosis. By showcasing actual patient cases, the video demonstrates how these techniques provide clearer, more detailed images than conventional methods, thereby facilitating better clinical decisions. The feedback from patients, who generally favor these ultrasound methods over MRI due to the interactive nature and immediate results, underscores the practical benefits and patient-centered advantages of these advanced imaging techniques.