Ultrasound-Guided Transvaginal Interventions in the Pelvis

摘要

The endovaginal approach using a transvaginal transducer and guide is often the most optimal route to visualize and access central and posterior pelvic lesions. Endovaginal aspiration, biopsy, and catheter placements are very well tolerated, and complications are infrequent.Access to pelvic masses and collections can be done percutaneously by atransabdominal (anterior), trans-gluteal (posterior), or transperineal approach, or by a transvaginal or transrecta! endocavitary approach. If accessible, drainage and catheter placement from an anterior percutaneous approach is generally preferred, given patient comfort and physician expertise and the ability to place a larger catheter. Access may be done through the anterior abdominal wall musculature or by traversing the iliacus muscle.