Journal of Ultrasound in Medicine, Vol 14, Issue 2 135-138, Copyright © 1995 by American Institute of Ultrasound in Medicine
Transrectal and transperineal sonography during guided intrauterine procedures
A. C. Fleischer, L. S. Burnett, H. W. Jones 3rd and J. A. Cullinan
Vanderbilt University Medical Center, Department of Radiology, Nashville, Tennessee 37232-2675, USA.
Transrectal sonography was used to provide intraoperative guidance for
dilatation and curettage and placement of intrauterine tandem apparatus in
20 patients in whom the external cervical os could not be visualized
adequately. Transrectal sonography was found to be useful in providing
guidance for these procedures and at the same time helped avoid uterine
perforation. This method also was used during cerclage placement in two
patients who had undergone several conizations. Transperineal sonography
was used in three patients whose area of abnormality was best approached
transperineally. These cases included transvaginal biopsy of a metastatic
trophoblastic tumor and one guided aspiration of a perirectal abscess after
pelvic exenteration. The potential advantages and pitfalls in the
intraoperative use of transrectal and transperineal sonography for guided
intrauterine procedures are discussed and illustrated.
