Unique in that it demonstrates the management of common gynecological conditions through accurate ultrasound diagnosis and minimally invasive treatment, this text highlights the pivotal role these two techniques play in modern obstetrics and gynecology. This authoritative text includes sections on menorrhagia, postmenopausal bleeding, endometrial malignancy, urogynecology, ovarian masses, endometriosis, early pregnancy complications and infertility. Multi-contributed, with short, practical chapters, the book is well illustrated with over 70 color illustrations.

Part I: MenorrhagiaUltrasound and MenorrhagiaRole of HysteroscopyHysteroscopic Fibroid ResectionTranscervical Resection of the Endometrium: Results and ComplicationsLaparoscopic Subtotal HysterectomyVaginal HysterectomyLaparoscopic MyomectomyPart II: The Postmenopausal EndometriumPostmenopausal Bleeding: Ultrasound and Hydrosonography versus HysteroscopyEndometrial Sampling TechniquesMonitoring Hormone Replacement TherapyEndometrial Surveillance of Tamoxifen PatientsPart III: Endometrial CancerUltrasound Staging of Endometrial CancerLaparoscopy in Patients with Endometrial CancerPart IV: UrogynaecologyAnal Endosonography and IncontinenceLaparoscopic Treatment of Uterine and Vault ProlapseEnterocele RepairEndoscopic Needle SuspensionsLaparoscopic Sacral Colpopexy and Sacrospinous FixationLaparoscopic ColposuspensionLaparoscopic Suburethral Sling ProcedurePart V: Ovarian MassesThe Use of Ultrasound to Assess the Morphology of Ovarian TumoursColour DopplerStatistical ModelsTreatment of Adnexal Masses and LaparoscopySecond-look Laparoscopy in Patients with Ovarian CancerPart VI: EndometriosisUltrasound Characteristics of EndometriosisThe Ovarian Endometrioma: Pathophysiology, Diagnosis and SurgeryEndometriosis is a surgical DiseaseAppendix: the revised AFS classification of endometriosisPart VII: Disorders of Ovarian Function and SubfertilityAmenorrhoea, PCO Syndrome and Tubal PathologyThe Assessment of Tubal Patency: HyCoSyLaparoscopic Treatment of Tubal Infectious Disease3D Ultrasound in the Diagnosis of Congenital AbnormalitiesThe Role of Endoscopy in Congenital Abnormalities: Diagnosis and TreatmentAppendix: classification of congenital abnormalitiesPart VIII: Early Pregnancy ComplicationsEarly Pregnancy FailureUltrasound Diagnosis and Management of MiscarriageUltrasound Diagnosis and Management of Pregnancy of Unknown Location andEctopic PregnancySystemic and Local Therapy of Ectopic PregnancyThe laparoscopic Approach of Ectopic PregnancyPart IX: Early Prenatal Diagnosis and Obstetric EndoscopyNuchal Translucency and Early Diagnosis of Congenital AnomaliesEarly AmniocentesisCoelocentesisChorion Villus Sampling in the First TrimesterObstetric Endoscopy

This is a unique book in that it brings together the two key investigative techniques in Gynaecology and Obstetrics, namely ultrasound and endoscopy. So often in the past they were regarded by their exponents as rival techniques but it is now recognised that they are complementary to each other. Consequently future trainees in endoscopy should become efficient in transvaginal sonography and vice versa. Ultrasound can be used to study the morphology of the pelvic organs such as the endometrium, myometrium and ovaries, and being non-invasive, safe and convenient can be repeated as often as is deemed necessary to monitor changes over time; for example in the investigation of the infertile woman the development of the dominant follicle, the maturation of the endometrium and the formation of the corpus luteum can be documented throughout the menstrual cycle while growth of ovarian cysts can be precisely measured to determine the need for surgery. A seldom-mentioned strength of the ultrasound examination is its interactive quality, for example by performing abdominal palpation during the scan, the mobility of the uterus and ovaries can be assessed. Also the images as they appear can be shown to the patient to aid understanding. Ultrasound can also determine function and the use of Doppler has been used for example to access endometrial receptivity, follicular maturity and the likelihood of malignancy in the endometrium or ovary.