Facts, Views & Vision
in ObGyn

Journal of the European Society for Gynaecological Endoscopy

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Non-invasive imaging techniques for diagnosis of pelvic deep endometriosis and endometriosis classification systems: an International Consensus Statement†,‡

G. Condous1#, B. Gerges1,2#, I. Thomassin-Naggara3, C. Becker4, C. Tomassetti5,6, H. Krentel7,  B. J. van Herendael§,9, M. Malzoni10, M. S. Abrao11, E. Saridogan12, J. Keckstein13, G. Hudelist14 and Collaborators§

1 Acute Gynaecology, Early Pregnancy & Advanced Endosurgery Unit, Sydney Medical School Nepean, University  of Sydney, Nepean Hospital, Penrith, NSW, Australia
2 Sydney West Advanced Pelvic Surgery (SWAPS), Blacktown Hospital, Blacktown, NSW, Australia
3 APHP Hopital Tenon, Department of Radiology, Sorbonne Université, Paris, France
4 Endometriosis CaRe Centre Oxford, Nuffield Department of Women’s and Reproductive Health, University of Oxford, Oxford, UK
5 Department of Gynaecology and Obstetrics, University Hospitals Leuven, Leuven, Belgium;
6 Faculty of Medicine, Department of Development and Regeneration, KU Leuven, Leuven, Belgium
7 Department of Gynecology, Obstetrics and Gynecological Oncology, Bethesda Hospital, Duisburg, Germany
8 Ziekenhuis Netwerk Antwerpen Campus Stuivenberg, Antwerp, Belgium
9 Università degli Studi dell‘Insubria, Varese, Italy
10 Endoscopica Malzoni, Centre for Advanced Pelvic Surgery, Avellino, Italy
11 Disciplina de Ginecologia, Departamento de Obstetricia e Ginecologia, Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Sao Paulo, Brazil
12 Department of Obstetrics and Gynaecology, University College London Hospital, London, UK
13 Stiftung Endometrioseforschung (SEF), Westerstede, Germany
14 Center for Endometriosis, Hospital St. John of God Vienna; Rudolfinerhaus Private Clinic & Campus, Vienna, Austria

# G.C. and B.G. are joint first authors.
§ Other collaborating members of the Intersociety Consensus Group are listed at the end of this article.

† This article is not externally peer reviewed. The manuscript has been approved by the ESGE Executive Board.

‡ This Consensus Statement is being published simultaneously and jointly, in Ultrasound in Obstetrics & Gynecology; Facts, Views and Vision in ObGyn; Trocar; Human Reproduction Open; Journal of Minimally Invasive Gynecology and European Journal of Radiology; by the International Society of Ultrasound in Obstetrics and Gynecology (ISUOG) and International Deep Endometriosis Analysis (IDEA) group, the European Endometriosis League (EEL), the European Society for Gynaecological Endoscopy (ESGE), the European Society of Human Reproduction and Embryology (ESHRE), the International Society for Gynecologic Endoscopy (ISGE), the American Association of Gynecologic Laparoscopists (AAGL) and the European Society of Urogenital Radiology (ESUR).


Published online: Jun 28 2024

https://doi.org/10.52054/FVVO.16.2.012

Abstract

The International Society of Ultrasound in Obstetrics and Gynecology (ISUOG) and International Deep Endometriosis Analysis (IDEA) group, the European Endometriosis League (EEL), the European Society for Gynaecological Endoscopy (ESGE), the European Society of Human Reproduction and Embryology (ESHRE), the International Society for Gynecologic Endoscopy (ISGE), the American Association of Gynecologic Laparoscopists (AAGL) and the European Society of Urogenital Radiology (ESUR) elected an international, multidisciplinary panel of gynecological surgeons, sonographers and radiologists, including a steering committee, which searched the literature for relevant articles in order to review the literature and provide evidence-based and clinically relevant statements on the use of imaging techniques for non-invasive diagnosis and classification of pelvic deep endometriosis. Preliminary statements were drafted based on a review of the relevant literature. Following two rounds of revisions and voting orchestrated by chairs of the participating societies, consensus statements were finalized. A final version of the document was then resubmitted to the society chairs for approval.

Twenty statements were drafted, of which 14 reached strong and three moderate agreement after the first voting round. The remaining three statements were discussed by all members of the steering committee and society chairs and rephrased, followed by an additional round of voting. At the conclusion of the process, 14 statements had strong and five statements moderate agreement, with one statement left in equipoise. This consensus work aims to guide clinicians involved in treating women with suspected endometriosis during patient assessment, counselling and planning of surgical treatment strategies.

Supplementary data