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Transvaginal ultrasound evaluation of the ureter
Juan Ramón Pérez Vidal,Carmen Llanos Llanos,Inmaculada Gómez Carrascosa,María Orenes Moreno,Pilar Marín Sánchez 대한산부인과학회 2022 Obstetrics & Gynecology Science Vol.65 No.4
ObjectiveIn this video, we present our technique for ureter assessment during pelvic ultrasound examination. MethodsWe used a general electric Voluson E10 (General electric, Wauwatosa, WI, USA) to perform transvaginal ultrasonography. These images were shared after thorough counselling, and obtaining informed consent from the patient. Thisvideo was edited using FinalCut ProX® (Apple Inc, Cupertino, CA, USA). ResultsWe systematized this routine after assessing the cervix, uterus, and adnexa. The vaginal probe was slightly removed tofocus on the urethra. Next, we approached the hand on the contralateral thigh to the ureter. At this point, the probewas directed to the lateral pelvic wall where the ureteric orifice was found. Then, we raised our hands and performan internal rotation movement to ascend the ureteral segments until it is related to the iliac vessels. ConclusionThe urinary tract may be involved in gynecological pathologies. Transvaginal ultrasound is an easy, reproducible, andwell-tolerated examination that can be used to evaluate the ureters below the pelvic brim. 영어