The Use of Standard Ultrasound and 3-Dimensional Ultrasound in Gynecology

The use of Ultrasound in gynecology has become a very valuable tool in the diagnosis of many abnormalities or disease processes in the female patient. It is a diagnostic tool that is safe and convenient. It can be done in a very short period on the exam table without any discomfort or inconvenience to the patient.

3-Dimentinal Ultrasound is a more advanced technique than 2-Dimentional Ultrasonography and can give better and more specific results in certain areas of gynecological investigation:

1-Benign lesions-fibroids and intra-uterine adhesions which can a interfere with fertility; polyps; endometrial hyperplasia (pre-cancerous); adenomyosis; malposition of IUD (intra uterine device); Adding 3D USG to their gynecological workup will aid clinicians in diagnosing and managing their patients with benign gynecological conditions.

2-Oncology- Ultrasound is the initial imaging tool for evaluation of patients with an adnexal mass or abnormal uterine bleeding. Ultimately, a number of these are diagnosed with gynecological cancer. 3D USG is mainly used for the initial evaluation of patients with potential malignancy.

3-Urogynecology- A very effective tool in the diagnosis of incontinence and other uro-gynecological conditions. The introduction of trans-labial 3D USG (3D TL) has changed the approach to imaging technologies in urogynecology. Three-D TL can also be used for locating tension-free sub-ureteral slings that are used in the treatment of stress urinary incontinence. Likewise, synthetic meshes, such as vaginal wall meshes, are easily seen using 3D TL. Determining the location of the sling or the mesh and observing it in real time help the surgeon to assess the efficacy of his treatment.

4-Congenital Anomalies-3D USG is a highly sensitive and specific tool for accurately diagnosing congenital uterine anomalies.

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