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This comprehensive review addresses the intricate anatomy of uterosacral ligaments (USLs) and their significance in diagnosing deep pelvic endometriosis (DPE), namely via transvaginal ultrasound (TVUS) and magnetic resonance imaging (MRI). Various classification systems and diagnostic criteria are explored, alongside pitfalls in interpretation and potential technical challenges. Surgical implications, particularly concerning laparoscopic exploration, are highlighted, emphasizing the importance of accurate preoperative imaging. Insights into the morphological appearance of DPE lesions, their extensions, and associated adhesions are provided. Overall, this review underscores the critical role of USL and torus uterinum evaluation in DPE diagnosis and management.

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Mediocentral Compartment: Torus Uterinum and Proximal Uterosacral Ligaments

  • 章节

  • 发表日期：

    2025年

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  • Adalgisa Guerra,
  • Catarina Janicas,
  • Marta Manso,
  • Inês Fortuna

摘要

This comprehensive review addresses the intricate anatomy of uterosacral ligaments (USLs) and their significance in diagnosing deep pelvic endometriosis (DPE), namely via transvaginal ultrasound (TVUS) and magnetic resonance imaging (MRI). Various classification systems and diagnostic criteria are explored, alongside pitfalls in interpretation and potential technical challenges. Surgical implications, particularly concerning laparoscopic exploration, are highlighted, emphasizing the importance of accurate preoperative imaging. Insights into the morphological appearance of DPE lesions, their extensions, and associated adhesions are provided. Overall, this review underscores the critical role of USL and torus uterinum evaluation in DPE diagnosis and management.