Augmented Pelvic Ultrasound (APU)/ Advanced Transvaginal-Transperineal Ultrasound w/ Doppler / Elastography / Score / Ultrasound Mapping for Endometriosis.
Multi-Compartment Protocol Mapping for Endometriosis. Score. The New Non-Invasive Gold Standard for de Diagnosis of Endometriosis.
Miami Sonogram Protocol includes for Ultrasound Mapping for Endometriosis:
1-Augmented Pelvic Ultrasound (APU) /APU Score / Advanced Transvaginal (A-TVs) Compartment Evaluation / with Doppler/ Elastography / O-RADS-IOTA
2-Transperineal ultrasound (TPUs). The Transperineal Ultrasound is to evaluate posterior compartment, urethra, rectovaginal septum, vagina, and lower Rectum.
Renal Ultrasound without any additional cost is included in cases of lower ureter dilatation.
The Augmented Pelvic Ultrasound (APU-A-TVs) is a detailed exam to evaluate endometriosis with maneuvers. The Routine Pelvic or Transvaginal Ultrasound are not specific to evaluate endometriosis.
Preparation:
For the APU / Advanced Transvaginal Ultrasound / Transperineal US:
a) The bladder must be slightly filled.
b) We strongly recommend the following for the examination:
-A liquid diet, avoiding carbonated beverages and gas-producing foods on the day before the procedure to ensure optimal visualization of the pelvic organs.
-Bowel preparation: Purchase one (1) Fleet enemas from the Pharmacy (the Fleets are over the counter). Before your ultrasound test, administer one Fleet enema at home on the morning of your exam.
Note: A fleet enema is a bottle with 133 ml of liquid in it. It has a nozzle that is covered with gel. Apply it while lying on your side, inserting the nozzle into the anus and squirting the full content of the bottle into the rectum. An urge to go to the toilet will follow the application. Try to wait for 3 to 5 minutes before going to the toilet. After this, your rectum should be completely empty optimizing ultrasound images.
Exam duration: 45-60 minutes.